Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 271705-1 | NY |
N | 111NI0900X | Internist | 271705-1 | NY |
Y | 207RI0200X | Infectious Disease | 271705 | NY |
NPI | 1063643211 |
---|---|
Provider Name | Neha Khullar |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12208-2725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 12/05/2021 |