Basic Information
Provider Information
NPI: 1265497820
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOHAIL
FirstName: NEELOFER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2110 HARRISBURG PIKE
Address2: SUITE 300
City: LANCASTER
State: PA
PostalCode: 176012644
CountryCode: US
TelephoneNumber: 7175443022
FaxNumber: 7175443021
Practice Location
Address1: 2110 HARRISBURG PIKE
Address2: SUITE 300
City: LANCASTER
State: PA
PostalCode: 176012644
CountryCode: US
TelephoneNumber: 7175443022
FaxNumber: 7175443021
Other Information
ProviderEnumerationDate: 04/18/2006
LastUpdateDate: 04/12/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QG0300XMD425349PAY Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine

ID Information
IDTypeStateIssuerDescription
5005599801PAKEYSTONE HEALTH PLAN CENTRALOTHER
722667501PAAETNA-NON HMOOTHER
2004429901PAMERCYOTHER
42517201PAHEALTHAMERICAOTHER
00176228301PAHIGHMARKOTHER
242670500001PAINDEPENDENCE BLUE CROSSOTHER
125448201PAAETNA-HMOOTHER
00000016807601PAUNISONOTHER
P0023935001PARR MEDICAREOTHER
101096090 000605PA MEDICAID
5005599801PACAPITAL BLUE CROSSOTHER
P00681301PAGATEWAYOTHER


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