Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35096140 | OH |
NPI | 1023212917 |
---|---|
Provider Name | Kalpana Raghunathan |
First Address | Orrville, OH 44667-2218 |
Second Address | Orrville, OH 44667-2218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 10/03/2016 |