Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD030596L | PA |
Y | 208600000X | Surgeon | MD030596L | PA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD030596L | PA |
NPI | 1154391738 |
---|---|
Provider Name | Dr. Hassan C Vakil |
First Address | Media, PA 19063 |
Second Address | Media, PA 19063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 15/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007732930001 | (05) | PA |
B35177 | (02) |