Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125-050491 | IL |
N | 111NI0900X | Internist | 125-050491 | IL |
Y | 207RN0300X | Nephrologist | 39498 | IA |
NPI | 1033384086 |
---|---|
Provider Name | Kanwaljit K Chouhan |
First Address | Des Moines, IA 50309-1409 |
Second Address | Des Moines, IA 50309-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 13/09/2011 |