Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD027204E | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD027204E | PA |
NPI | 1083729321 |
---|---|
Provider Name | Pearl N Pakdi |
First Address | Reading, PA 19605-9453 |
Second Address | Reading, PA 19605-9453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 26/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001793236 | (05) | PA |
BP6516287 | DEA (01) | PA |