Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT192667 | PA |
N | 111NI0900X | Internist | MT192667 | PA |
Y | 207RG0100X | Gastroenterologist | MD451072 | PA |
NPI | 1003078668 |
---|---|
Provider Name | Eva Hassan Alsheik |
First Address | Philadelphia, PA 19102-1320 |
Second Address | Philadelphia, PA 19107-1519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 15/04/2015 |