Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 15865 | NV |
N | 2080P0207X | Pediatric Hematology-Oncologist | 40972 | KY |
NPI | 1184656613 |
---|---|
Provider Name | Kanyalakshmi Ayyanar |
First Address | Las Vegas, NV 89135 |
Second Address | Las Vegas, NV 89135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 02/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200867270 | (05) | IN |
7100005410 | (05) | KY |