Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 40893 | AZ |
N | 207RR0500X | Rheumatology | A88145 | CA |
NPI | 1063631513 |
---|---|
Provider Name | Mrs. Sabina Mian |
First Address | Tucson, AZ 85712-2837 |
Second Address | Tucson, AZ 85704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 13/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390495 | (05) | AZ |