Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 25MA08933200 | NJ |
NPI | 1003033689 |
---|---|
Provider Name | Rupan Trikha |
First Address | Little Silver, NJ 07739-1208 |
Second Address | Little Silver, NJ 07739-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 29/07/2021 |