Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 54119 | WI |
N | 111NI0900X | Internist | 54119 | WI |
Y | 207RR0500X | Rheumatology | ME119768 | FL |
NPI | 1114111507 |
---|---|
Provider Name | Less K. Shrestha |
First Address | Tallahassee, FL 32311-0802 |
Second Address | Tallahassee, FL 32311-0802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 24/07/2014 |