Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A89868 | CA |
N | 207VX0000X | Obstetrician | A89868 | CA |
NPI | 1457309783 |
---|---|
Provider Name | Jaya Karnani |
First Address | Elk Grove, CA 95757-8314 |
Second Address | Elk Grove, CA 95758-3639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 29/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I17132 | (02) | CA |