Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | OS9639 | FL |
NPI | 1679752760 |
---|---|
Provider Name | Madhurima Sanka |
First Address | Pinellas Park, FL 33781-5025 |
Second Address | Pinellas Park, FL 33781-5025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 25/10/2007 |