Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A40016 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A40016 | CA |
NPI | 1073680971 |
---|---|
Provider Name | Navneet K. Dullet |
First Address | Modesto, CA 95350-4430 |
Second Address | Modesto, CA 95350-4430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 15/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A400160 | (05) | CA |
E02521 | (02) |