Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C10009493 | DE |
Y | 2080P0214X | Pediatric Pulmonologist | C10009493 | DE |
NPI | 1376840298 |
---|---|
Provider Name | Vandna Passi |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2011 |
Last Update Date | 06/05/2014 |