Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0101245901 | VA |
Y | 207RA0201X | Internist - Allergy & Immunology | 35.129469 | OH |
NPI | 1356554976 |
---|---|
Provider Name | Svetlana Igorevna Kriegel |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-8008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 02/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0180977 | (05) | OH |