Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD428279 | PA |
N | 111NI0900X | Internist | MD428279 | PA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD428279 | PA |
N | 207RG0300X | Geriatric Medicine | MD428279 | PA |
NPI | 1104016096 |
---|---|
Provider Name | Dr. Monisha Medhi |
First Address | Wexford, PA 15090-7201 |
Second Address | Wexford, PA 15090-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 03/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
149037001 | (05) | AR |
H77552 | (02) | AR |