Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | MD35370 | TN |
Y | 2086X0206X | Surgical Oncologist | ME122685 | FL |
NPI | 1174607279 |
---|---|
Provider Name | Nipun Merchant |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 21/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82211 | (02) |