Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD432200 | PA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD 432200 | PA |
NPI | 1194928069 |
---|---|
Provider Name | Dr. Zaher Srour |
First Address | Hanover, PA 17331-1501 |
Second Address | Hanover, PA 17331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SR1987006 | HIGHMARK BLUESHIELD (01) | PA |