Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 172591 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 172591 | NY |
NPI | 1053471110 |
---|---|
Provider Name | Ram Jadonath |
First Address | Manhasset, NY 11030 |
Second Address | Manhasset, NY 11030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 19/03/2019 |