Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 55322 | AZ |
NPI | 1306038096 |
---|---|
Provider Name | Uma Chandavarkar |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95816-5616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 31/03/2020 |