Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125-046979 | IL |
N | 111NI0900X | Internist | 125-046979 | IL |
N | 2084N0400X | Neurologist | D0069838 | MD |
N | 2084N0400X | Neurologist | J00214174 | AL |
Y | 2084N0400X | Neurologist | MD456024 | PA |
NPI | 1013081702 |
---|---|
Provider Name | Bilal Saulat |
First Address | Reading, PA 19612-3579 |
Second Address | Reading, PA 19611-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103060177 | (05) | PA |