Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MA68102 | NJ |
NPI | 1225227176 |
---|---|
Provider Name | Rekha Hamal |
First Address | West New York, NJ 07093-2622 |
Second Address | West New York, NJ 07093-2622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2007 |
Last Update Date | 16/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
986221 | (02) | NJ |