Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00048493 | WA |
N | 111NI0900X | Internist | MD00048493 | WA |
N | 207RC0200X | Critical Care Medicine | MD00048493 | WA |
N | 207RP1001X | Pulmonary Disease | MD00048493 | WA |
Y | 207RP1001X | Pulmonary Disease | MD440729 | PA |
NPI | 1083736227 |
---|---|
Provider Name | Sheela Yadav Ahmed |
First Address | Ephrata, PA 17522-9550 |
Second Address | Lancaster, PA 17601-6813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 27/05/2015 |