Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MD-18525 | HI |
NPI | 1003159211 |
---|---|
Provider Name | Nishal Brahmbhatt |
First Address | Honolulu, HI 96813-2499 |
Second Address | Honolulu, HI 96813-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 06/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6495 | MDR (01) | HI |