Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D88116 | MD |
NPI | 1144683665 |
---|---|
Provider Name | Dr. Vivek Kesari |
First Address | Columbia, MD 21044-3631 |
Second Address | Columbia, MD 21044-3631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 04/02/2021 |