Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | D91479 | MD |
NPI | 1073907283 |
---|---|
Provider Name | Kiara Tulla |
First Address | Baltimore, MD 21220-2004 |
Second Address | Baltimore, MD 21205-2109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 03/08/2021 |