Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 25MA09752900 | NJ |
N | 2086S0127X | Trauma Surgeon | 25MA09752900 | NJ |
N | 2086S0129X | Vascular Surgeon | 25MA09752900 | NJ |
N | 2086S0129X | Vascular Surgeon | D84537 | MD |
Y | 2086S0129X | Vascular Surgeon | MD446266 | PA |
NPI | 1275789430 |
---|---|
Provider Name | Khanjan H Nagarsheth |
First Address | Hanover, PA 17331-2276 |
Second Address | Baltimore, MD 21201-7004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103799788 | (05) | PA |