Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A107752 | CA |
N | 111NI0900X | Internist | A107752 | CA |
Y | 207R00000X | Internist | ME104479 | FL |
Y | 111NI0900X | Internist | ME104479 | FL |
NPI | 1003070814 |
---|---|
Provider Name | Nantara Durrani |
First Address | Tallahassee, FL 32311-8200 |
Second Address | Tallahassee, FL 32308-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 14/07/2010 |