Healthcare Provider Details

I. General information

NPI: 1770726168
Provider Name (Legal Business Name): SABRINA MINHAS D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 N 8TH ST
PHILADELPHIA PA
19107-2418
US

IV. Provider business mailing address

PO BOX 22433
NEW YORK NY
10087-2433
US

V. Phone/Fax

Practice location:
  • Phone: 215-777-5808
  • Fax: 215-777-5825
Mailing address:
  • Phone: 215-777-5801
  • Fax: 215-777-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC005938
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: