Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | M5057 | TX |
NPI | 1043310352 |
---|---|
Provider Name | Sonali P. Birewar |
First Address | Austin, TX 78758-2401 |
Second Address | Austin, TX 78758-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 07/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184778201 | (05) | TX |