Healthcare Provider Details
I. General information
NPI: 1417177924
Provider Name (Legal Business Name): WOMENS HEALTH PROFESSIONALS OF CHAMBERSBURG
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2007
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
757 NORLAND AVE SUITE 210
CHAMBERSBURG PA
17201-4230
US
IV. Provider business mailing address
757 NORLAND AVE SUITE 210
CHAMBERSBURG PA
17201-4230
US
V. Phone/Fax
- Phone: 717-217-6990
- Fax: 717-217-6995
- Phone: 717-217-6990
- Fax: 717-217-6995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VH0002X |
| Taxonomy | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician |
| License Number | MD040330L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
SOHAEL
M
RASCHID
Title or Position: OWNER
Credential: M.D.
Phone: 717-217-6990