Individual
KARIMA RAFAEL SAJADI-ERNAZAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 732-2142
Mailing address
710B S COLORADO ST, PHILADELPHIA, PA 19146-1930
(215) 732-2142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD431636
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299740
—
NJ
05
—
1020377640
—
PA
01
—
1020377640001
PROMISE
PA
01
—
1963860
BLUE SHIELD
PA
01
—
2843651000
KEYSTONE
PA
01
—
30044949
KEYSTONE MERCY
—
Enumeration date
05/11/2007
Last updated
11/07/2023
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