Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 237502 | MA |
Y | 208800000X | Urologist | D077358 | MD |
NPI | 1063672871 |
---|---|
Provider Name | Vikrant Uberoi |
First Address | Owings Mills, MD 21117-5421 |
Second Address | Clinton, MD 20735-3362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2008 |
Last Update Date | 25/08/2014 |