Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 135790 | NY |
NPI | 1093898728 |
---|---|
Provider Name | Mr. Ranjit K Laha |
First Address | Jamestown, NY 14701 |
Second Address | Jamestown, NY 14701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00607896 | (05) | NY |
B81262 | (02) |