Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 237716 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 34912 | AZ |
NPI | 1396776647 |
---|---|
Provider Name | Shah Perwez Numani |
First Address | Peoria, AZ 85381-4256 |
Second Address | Buffalo, NY 14263-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 02/02/2021 |