Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD431821 | PA |
N | 208600000X | Surgeon | MD431821 | PA |
Y | 2086S0120X | Pediatric Surgery | MD431821 | PA |
NPI | 1598956286 |
---|---|
Provider Name | Indranil Sau |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Lemoyne, PA 17043-1168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 30/01/2021 |