Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101243546 | VA |
Y | 2080P0210X | Pediatric Nephrologist | 0101243546 | VA |
NPI | 1124238175 |
---|---|
Provider Name | Tamar Yemini Springel |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 23/11/2016 |