Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D57487 | MD |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D57487 | MD |
NPI | 1730139163 |
---|---|
Provider Name | Victoria Handa |
First Address | Baltimore, MD 21264-4313 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 17/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
761003300 | (05) | MD |
E67510 | (02) | MD |