Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 0101260296 | VA |
Y | 208800000X | Urologist | ME132364 | FL |
NPI | 1013208057 |
---|---|
Provider Name | Mohit Sirohi |
First Address | Tampa, FL 33606 |
Second Address | Tampa, FL 33606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 29/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A180 | GROUP MEDICARE NSC (01) | VA |
JA084Z | PROVIDER MEDICARE (01) | FL |