Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 2015-01800 | NC |
Y | 207RH0000X | Hematologist | MD61143237 | WA |
NPI | 1285990382 |
---|---|
Provider Name | Perrin M Jhaveri |
First Address | Tacoma, WA 98405-4267 |
Second Address | Tacoma, WA 98405-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 21/04/2021 |