Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 036135849 | IL |
Y | 2084N0400X | Neurologist | MD.207446 | LA |
NPI | 1003076936 |
---|---|
Provider Name | Korak Sarkar |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70115-8235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 05/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F400169459 | (02) | IL |