Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD.0000746 | CO |
Y | 222Z00000X | Podiatrist | POD.0000746 | CO |
NPI | 1023070570 |
---|---|
Provider Name | Parichart Vaikayee |
First Address | Boulder, CO 80308-4150 |
Second Address | Rockwall, TX 75087-2569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 20/04/2017 |