Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 26094 | NC |
NPI | 1063444826 |
---|---|
Provider Name | Janak Kantilal Choksi |
First Address | Morrisville, NC 27560-8442 |
Second Address | Burlington, NC 27215-8700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22457 | BLUE CROSS BLUE SHIELD (01) | NC |
4869 | PARTNERS (01) | NC |
8922457 | (05) | NC |
D33042 | (02) | NC |