Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | TL0007425 | CO |
N | 207R00000X | Internist | 305901 | NY |
N | 111NI0900X | Internist | 305901 | NY |
N | 207R00000X | Internist | BP10049461 | TX |
N | 111NI0900X | Internist | BP10049461 | TX |
Y | 207RA0201X | Internist - Allergy & Immunology | 305901 | NY |
NPI | 1083025902 |
---|---|
Provider Name | Ekta K Perera |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 21/09/2020 |