Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD057412L | PA |
NPI | 1134216799 |
---|---|
Provider Name | Kalpana Rajashekar |
First Address | Monroeville, PA 15146-4866 |
Second Address | Monroeville, PA 15146-4866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F96515 | (02) | PA |