Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 02005032A | IN |
Y | 2080P0214X | Pediatric Pulmonologist | 34.014573 | OH |
NPI | 1487069910 |
---|---|
Provider Name | Parevi Majmudar |
First Address | Indianapolis, IN 46202-5109 |
Second Address | Cleveland, OH 44195-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 26/10/2021 |