Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD440249 | PA |
NPI | 1841234580 |
---|---|
Provider Name | Dr. Dominique El-Khawand |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 13/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102837356 | (05) | PA |
1065790 | (05) | LA |
2897369 | HIGHMARK BLUE SHIELD (01) | PA |
420283 | UPMC (01) | PA |
I39616 | (02) | LA |