Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | C10006298 | DE |
NPI | 1073591970 |
---|---|
Provider Name | Ripudaman S Hundal |
First Address | Newark, DE 19713-4248 |
Second Address | Newark, DE 19713-4248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073591970 | (05) | DE |
H48070 | (02) | DE |