Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 0442687 | KS |
NPI | 1295130672 |
---|---|
Provider Name | Rekha Gadiparthi |
First Address | Bronx, NY 10451 |
Second Address | Bronx, NY 10451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2014 |
Last Update Date | 23/11/2020 |