Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301099415 | MI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | R8733 | TX |
NPI | 1508177718 |
---|---|
Provider Name | Dr. Solafa Elshatanoufy |
First Address | Pearland, TX 77584-3490 |
Second Address | Pearland, TX 77584-3490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 02/10/2018 |