Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301102217 | MI |
Y | 2080P0203X | Pediatric Critical Care Doctor | 036146959 | IL |
N | 2080P0203X | Pediatric Critical Care Doctor | C171969 | CA |
NPI | 1306186861 |
---|---|
Provider Name | Yamini Satish Kapileshwarkar |
First Address | Detroit, MI 48201-2119 |
Second Address | Detroit, MI 48201-2119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2013 |
Last Update Date | 17/06/2021 |