Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | MD421653 | PA |
NPI | 1013182146 |
---|---|
Provider Name | Dr. Shaheen Timmapuri |
First Address | Philadelphia, PA 19134-1095 |
Second Address | Philadelphia, PA 19134-1095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 29/04/2008 |