Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MT213214 | PA |
NPI | 1790947430 |
---|---|
Provider Name | Dr. Sofia Shaheen Chaudhary |
First Address | Philadelphia, PA 19104 |
Second Address | Atlanta, GA 30303-3049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 08/06/2017 |