Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 2007018099 | MO |
NPI | 1063603868 |
---|---|
Provider Name | Najma Lokhandwala |
First Address | Saint Louis, MO 63104-1004 |
Second Address | Saint Louis, MO 63104-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 01/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2007018099 | MISSOURI LICENSE (01) | MO |