Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD434736 | PA |
N | 2080P0210X | Pediatric Nephrologist | 21533 | SC |
N | 2080P0210X | Pediatric Nephrologist | C10009076 | DE |
NPI | 1376573683 |
---|---|
Provider Name | Dr. Abdullah Sakarcan |
First Address | Reading, PA 19610-0946 |
Second Address | West Reading, PA 19611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 07/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102194372-0009 | (05) | PA |
F10046 | (02) |