Doctor Name: | VANESSA ALIA EMDADI |
NPI Number: | 1982016663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | OT016025 |
Business Practice Address: | 201 State Street Upmc Hamot, Erie, PA - 16550 |
Business Phone Number: | 5408780038 |
Business Fax Number: | |
Mailing Address: | 201 State Street, Upmc Hamot, ERIE |
State: | PA |
Postal Code: | 16550 |
Phone Number: | 5408780038 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2014 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | OT016025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |