Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | D0063983 | MD |
NPI | 1063487593 |
---|---|
Provider Name | Dr. Shruti M Paranjape |
First Address | Baltimore, MD 21287-0001 |
Second Address | Baltimore, MD 21287-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 24/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001811657 | (05) | PA |
409943500 | (05) | MD |
H22624 | (02) | PA |