Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2018-00218 | NC |
NPI | 1093033938 |
---|---|
Provider Name | Nisha Nathan |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28204-2963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2010 |
Last Update Date | 18/11/2019 |