Doctor Name: | NAVIN GOGNA LUTHRA |
NPI Number: | 1366844862 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 374 W. Olive Avenue Suite A Merced, CA - 953485768 |
Business Phone Number: | 2093845766 |
Business Fax Number: | 2093834230 |
Mailing Address: | Po Box 3768, 1763 Grogan Avenue MERCED |
State: | CA |
Postal Code: | 953443768 |
Phone Number: | 2097257149 |
Fax Number: | 2097260134 |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |