Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA08527400 | NJ |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD425644 | PA |
NPI | 1528128030 |
---|---|
Provider Name | Wudbhav Nott Sankar |
First Address | Philadelphia, PA 19104-5545 |
Second Address | Philadelphia, PA 19104-5545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102333690-0001 | (05) | PA |