Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | D31388 | MD |
NPI | 1043261043 |
---|---|
Provider Name | Sakkubai Naidu |
First Address | Baltimore, MD 21205 |
Second Address | Baltimore, MD 21205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D13833 | (02) | MD |