Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A50536 | CA |
Y | 207RI0011X | Interventional Cardiology | A50536 | CA |
NPI | 1104907666 |
---|---|
Provider Name | Dr. Sunil Kumar Nowrangi |
First Address | Colton, CA 92324-1801 |
Second Address | Colton, CA 92324-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 03/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H19306 | (02) | CA |