Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A139580 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A139580 | CA |
N | 207RG0300X | Geriatric Medicine | A139580 | CA |
NPI | 1396003257 |
---|---|
Provider Name | Dr. Tishangi Kumar |
First Address | Pasadena, CA 91107-6006 |
Second Address | Arcadia, CA 91007-3493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2012 |
Last Update Date | 11/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A139580 | MEDICAL LISCENSE (01) | CA |