Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 19875 | WV |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 19875 | WV |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD046601L | PA |
NPI | 1255436689 |
---|---|
Provider Name | Dr. Christopher H. Rassekh |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 01/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6500026000 | (05) | WV |
E42997 | (02) |