Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 35.097764 | OH |
NPI | 1083649388 |
---|---|
Provider Name | Kshama M Daphtary |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0TH00 | (02) | |
100502560 | (05) | NV |
101469970 | (05) | PA |
200257650 | (05) | KS |
8384695 | (05) | WA |
922840 | (05) | AZ |
XPY201557 | (05) | CA |