Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 2000-00351 | NC |
NPI | 1003960121 |
---|---|
Provider Name | Sanjay Asrani |
First Address | Cary, NC 27511-8712 |
Second Address | Cary, NC 27511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 28/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8912603 | (05) | NC |
H18053 | (02) |