Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D68821 | MD |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | PENDING | LA |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME106709 | FL |
NPI | 1902015902 |
---|---|
Provider Name | Kavita Malhotra Pattani |
First Address | Orlando, FL 32806-1110 |
Second Address | Orlando, FL 32806-2134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002055300 | (05) | FL |
022523100 | (05) | MD |
ME106709 | MEDICAL LICENSE (01) | FL |