Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 243892 | NY |
Y | 207RX0202X | Medical Oncology | 243892 | NY |
NPI | 1215056304 |
---|---|
Provider Name | Dr. Shyamala Navada |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 22/02/2019 |