Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 248857 | MA |
Y | 111NI0900X | Internist | 248857 | MA |
NPI | 1003102138 |
---|---|
Provider Name | Jugta Khuman |
First Address | Dorchester, MA 02125-3272 |
Second Address | Dorchester, MA 02125-3272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 27/06/2011 |