Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 35.127789 | OH |
Y | 207RH0003X | Hematology & Oncology | 72489 | WI |
NPI | 1053578625 |
---|---|
Provider Name | Zartash Gul |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Milwaukee, WI 53215-4330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100099332 | (05) | WI |