Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD106179 | MO |
Y | 111NI0900X | Internist | MD106179 | MO |
N | 207U00000X | Nuclear Medicine Specialist | MD106179 | MO |
NPI | 1598878456 |
---|---|
Provider Name | Narendra R Khengar |
First Address | Jefferson Cty, MO 65101-4539 |
Second Address | Columbia, MO 65203-0192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 03/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110122136 | RR (01) | |
208284505 | (05) | MO |
8149414 | CPIW (01) | |
G32385 | (02) |