Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | M7347 | TX |
NPI | 1063487494 |
---|---|
Provider Name | Sajal Kumar |
First Address | Yakima, WA 98902-3254 |
Second Address | Yakima, WA 98902-3254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 27/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7140726 | (05) | WA |