Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC004042L | PA |
NPI | 1073679908 |
---|---|
Provider Name | Dr. Christina Teimouri |
First Address | Rochester, PA 15074-0309 |
Second Address | Beaver, PA 15009-2998 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 01/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015190500007 | (05) | PA |
088521 | (02) | PA |