Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35.095531 | OH |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | TP951 | KY |
N | 207U00000X | Nuclear Medicine Specialist | TP951 | KY |
NPI | 1316041635 |
---|---|
Provider Name | Suman Jana |
First Address | Cincinnati, OH 45206-1785 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 16/11/2020 |