Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 1003128695 | MI |
Y | 207RG0100X | Gastroenterologist | 14986 | CA |
NPI | 1003128695 |
---|---|
Provider Name | Vinayata Manuballa Kareti |
First Address | Lancaster, CA 93534-9823 |
Second Address | Royal Oak, MI 48073-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2010 |
Last Update Date | 29/11/2021 |