Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48619 | MN |
N | 111NI0900X | Internist | 48619 | MN |
Y | 207RH0000X | Hematologist | 48619 | MN |
N | 207RH0003X | Hematology & Oncology | 48619 | MN |
NPI | 1356350623 |
---|---|
Provider Name | Naseema Gangat |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I61983 | (02) | MN |