Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD455487 | PA |
NPI | 1013103738 |
---|---|
Provider Name | Erum Azhar |
First Address | Lebanon, PA 17046-4871 |
Second Address | Lebanon, PA 17046-4871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2007 |
Last Update Date | 11/04/2018 |