Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT198177 | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 83238 | GA |
NPI | 1083926349 |
---|---|
Provider Name | Summer Elshenawy |
First Address | Philadelphia, PA 19104-4399 |
Second Address | Philadelphia, PA 19104-4399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 20/08/2019 |