Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD438184 | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD438184 | PA |
NPI | 1053547059 |
---|---|
Provider Name | Dr. Sheela Moorthy |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-3676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 09/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102756964 | (05) | PA |