Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2011016850 | MO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 123423 | OH |
NPI | 1205123668 |
---|---|
Provider Name | Neelum Jeste |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 01/07/2014 |