Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD470206 | PA |
N | 207PE0004X | Emergency Medical Services | C1-0013183 | DE |
NPI | 1003278664 |
---|---|
Provider Name | Dr. Sepehr Sedigh Haghighat |
First Address | Philadelphia, PA 19107-5002 |
Second Address | Newark, DE 19718-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2016 |
Last Update Date | 17/11/2020 |