Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD471727 | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD471727 | PA |
NPI | 1013273739 |
---|---|
Provider Name | Mohamad Khaled Sabeh |
First Address | Erie, PA 16502-4604 |
Second Address | Erie, PA 16502-4604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2012 |
Last Update Date | 21/09/2020 |