Provider Demographics
NPI:1437465234
Name:KENNEBEC HEALTH CENTER PLLC
Entity Type:Organization
Organization Name:KENNEBEC HEALTH CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-331-0282
Mailing Address - Street 1:1124 KENNEBEC DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2809
Mailing Address - Country:US
Mailing Address - Phone:717-331-0282
Mailing Address - Fax:717-263-2655
Practice Address - Street 1:1124 KENNEBEC DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2809
Practice Address - Country:US
Practice Address - Phone:717-331-0282
Practice Address - Fax:717-263-2655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040330L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty