Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 28532 | OK |
N | 111NI0900X | Internist | 28532 | OK |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A163384 | CA |
NPI | 1063706307 |
---|---|
Provider Name | Mitali Talsania |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 17/02/2020 |