Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 7036 | DC |
Y | 207K00000X | Allergist & Immunologist | D17454 | MD |
NPI | 1114029972 |
---|---|
Provider Name | Nirupma Rohatgi |
First Address | Gaithersburg, MD 20877 |
Second Address | Gaithersburg, MD 20877 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 29/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255371600 | (05) | MD |
B92714 | (02) |