Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 237619 | NY |
N | 208000000X | Pediatrician | 237619 | NY |
Y | 2080P0206X | Pediatric Gastroenterologist | 001746 | NY |
NPI | 1841251139 |
---|---|
Provider Name | Nanda Kerkar |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02363766 | (05) | NY |