Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | R-9818 | IA |
Y | 111NI0900X | Internist | R-9818 | IA |
NPI | 1003256546 |
---|---|
Provider Name | Rajveer Sangera |
First Address | Des Moines, IA 50314-2611 |
Second Address | Des Moines, IA 50314-2611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2013 |
Last Update Date | 10/11/2021 |