Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 158214 | MA |
NPI | 1003825571 |
---|---|
Provider Name | Sapideh Gilani |
First Address | San Diego, CA 92103-1911 |
Second Address | San Diego, CA 92103-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 26/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019997 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0047049-002 | CIGNA (01) | MA |
158214 | TUFTS HEALTH PLAN (01) | MA |
3191346 | (05) | MA |
G87855 | (02) | MA |
J19969 | BLUE CROSS (01) | MA |
J214 | HARVARD PILGRIM (01) | MA |