Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35.086374 | OH |
NPI | 1104859958 |
---|---|
Provider Name | Vandana Khurma |
First Address | Cincinnati, OH 45208-1834 |
Second Address | Cincinnati, OH 45267-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |