Individual
SARA T. MOSHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6144
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101247171
VA
2085R0202X
Diagnostic Radiology Physician
2008-02037
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD440755
PA
2085R0202X
Diagnostic Radiology Physician
MT187259
PA
Other
Enumeration date
05/08/2007
Last updated
08/10/2020
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