Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 22DI02488200 | NJ |
NPI | 1033470273 |
---|---|
Provider Name | Khimiya M Paryani |
First Address | Fort Lee, NJ 07024-2232 |
Second Address | Fort Lee, NJ 07024-2232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 05/06/2012 |