Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 125112 | NY |
NPI | 1043346950 |
---|---|
Provider Name | Jagmohan K Kalra |
First Address | New Hyde Park, NY 11042-1018 |
Second Address | New Hyde Park, NY 11042-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01682728 | (05) | NY |
C11357 | (02) | NY |