Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A121241 | CA |
N | 111NI0900X | Internist | A121241 | CA |
N | 207R00000X | Internist | D76186 | MD |
N | 111NI0900X | Internist | D76186 | MD |
N | 207R00000X | Internist | MD457058 | PA |
N | 111NI0900X | Internist | MD457058 | PA |
Y | 207RA0401X | Internist - Addiction Medicine | MD457058 | PA |
NPI | 1821222381 |
---|---|
Provider Name | Dr. Sarah Sharfstein Kawasaki |
First Address | Hershey, PA 17033-0858 |
Second Address | Harrisburg, PA 17110-1904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 09/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1031646090001 | (05) | PA |
1821222381 | (05) | CA |
1821222381 | (05) | MD |
1821222381 | CCS PANELED (01) | CA |