Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 0101257258 | VA |
N | 207RN0300X | Nephrologist | 25211 | WV |
N | 207RN0300X | Nephrologist | 25MA09130100 | NJ |
N | 207RN0300X | Nephrologist | 46019 | KY |
Y | 207RN0300X | Nephrologist | ME131099 | FL |
NPI | 1063742377 |
---|---|
Provider Name | Jehanzeb Bilal |
First Address | Sarasota, FL 34233-1158 |
Second Address | Sarasota, FL 34233-1158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2010 |
Last Update Date | 02/04/2018 |