Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD425475 | PA |
NPI | 1346393550 |
---|---|
Provider Name | Dr. Sarah Y Noorbaksh |
First Address | Harrisburg, PA 17112-1017 |
Second Address | Harrisburg, PA 17112-1017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 22/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101232254 | (05) | PA |
B25184 | (02) | PA |