Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 62598 | MN |
Y | 2080P0202X | Pediatric Cardiologist | 62598 | MN |
NPI | 1235513284 |
---|---|
Provider Name | Talha Niaz |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2015 |
Last Update Date | 06/08/2020 |