Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 48893 | MN |
Y | 207VX0201X | Gynecologic Oncologist | 252718 | NY |
NPI | 1518027747 |
---|---|
Provider Name | Sajeena Mariam Geevarghese |
First Address | Rochester, NY 14620-4159 |
Second Address | Rochester, NY 14620-4159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 10/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03132932 | (05) | NY |