Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | E5779 | TX |
NPI | 1003827270 |
---|---|
Provider Name | Kiran Kumari Harpavat |
First Address | Flower Mound, TX 75022-2732 |
Second Address | Flower Mound, TX 75022-2732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |