Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01054145A | IN |
N | 111NI0900X | Internist | 01054145A | IN |
N | 207RC0200X | Critical Care Medicine | 01054145A | IN |
N | 207RP1001X | Pulmonary Disease | 01054145A | IN |
NPI | 1033224142 |
---|---|
Provider Name | Pawan Sikka |
First Address | Temple, TX 76504 |
Second Address | Temple, TX 76504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |