Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD053097L | PA |
Y | 111NI0900X | Internist | MD053097L | PA |
N | 207RA0401X | Internist - Addiction Medicine | MD-053097-L | PA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD053097L | PA |
NPI | 1770581100 |
---|---|
Provider Name | Dr. Vera Victoria Sherman |
First Address | Pittsburgh, PA 15208-2819 |
Second Address | Homestead, PA 15120-1518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2005 |
Last Update Date | 18/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014900780005 | (05) | PA |
1490078 | (05) | PA |
245258YH5P | MEDICARE (01) | PA |
F85927 | (02) | PA |