Provider Demographics
NPI:1043960313
Name:JOSEPH-PAULINE, SAHLIA KAI (DO)
Entity Type:Individual
Prefix:
First Name:SAHLIA
Middle Name:KAI
Last Name:JOSEPH-PAULINE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 STENDER RD
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-6745
Mailing Address - Country:US
Mailing Address - Phone:917-324-6900
Mailing Address - Fax:
Practice Address - Street 1:106 STENDER RD
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-6745
Practice Address - Country:US
Practice Address - Phone:917-324-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAOS023202208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program