Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 25MA08624700 | NJ |
N | 207RC0200X | Critical Care Medicine | N6740 | TX |
Y | 207RP1001X | Pulmonary Disease | N6740 | TX |
NPI | 1043466535 |
---|---|
Provider Name | Rupesh M Vakil |
First Address | Austin, TX 78735-8534 |
Second Address | Midland Park, NJ 07432-1969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 15/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255508NFY | MEDICARE NUMBER (01) | NJ |