Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 190911 | NY |
Y | 207RH0003X | Hematology & Oncology | 190911 | NY |
NPI | 1215991070 |
---|---|
Provider Name | Madhumati R Kalavar |
First Address | New York, NY 10087-5450 |
Second Address | Brooklyn, NY 11203-1821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 04/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01619992 | (05) | NY |
G11740 | (02) |