Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA10301000 | NJ |
NPI | 1093120800 |
---|---|
Provider Name | Shivali Raav |
First Address | New York, NY 10087-2581 |
Second Address | Morristown, NJ 07960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2014 |
Last Update Date | 19/08/2021 |