Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD038078L | PA |
NPI | 1063432599 |
---|---|
Provider Name | Paraluman R Bella |
First Address | Butler, PA 16003-1785 |
Second Address | Ellwood City, PA 16117-1474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C33158 | (02) | PA |