Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 276699 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 326923 | LA |
N | 2080P0205X | Pediatric Endocrinologist | E-10267 | AR |
NPI | 1013283456 |
---|---|
Provider Name | Manish Gope Raisingani |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70809-3481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 13/08/2021 |