Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.099107 | OH |
NPI | 1003040429 |
---|---|
Provider Name | Niyati Mahajan |
First Address | Akron, OH 44308-1063 |
Second Address | Streetsboro, OH 44241-5224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 08/06/2016 |