Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 2021-00780 | NC |
N | 207RP1001X | Pulmonary Disease | MD463818 | PA |
N | 207RS0012X | Sleep Medicine | MD463818 | PA |
NPI | 1043568314 |
---|---|
Provider Name | Saroj Prakash Kandel |
First Address | Morrisville, NC 27560-8442 |
Second Address | Kinston, NC 28504-1550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2012 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103493812 | (05) | PA |
14216661 | CAQH (01) |