Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 036106755 | IL |
NPI | 1073675526 |
---|---|
Provider Name | Saima Chohan |
First Address | Phoenix, AZ 85032-9306 |
Second Address | Phoenix, AZ 85032-9306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 13/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036106755 | (05) | IL |