Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P 18943 | MD |
N | 111NI0900X | Internist | P 18943 | MD |
Y | 207RN0300X | Nephrologist | ME104667 | FL |
NPI | 1003023581 |
---|---|
Provider Name | Jaideep Hingorani |
First Address | Port Charlotte, FL 33952-8054 |
Second Address | Port Charlotte, FL 33952-8054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 18/11/2009 |