Provider Demographics
NPI:1992147029
Name:SAKLA, EMMANUEL SHAKIB (DO)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:SHAKIB
Last Name:SAKLA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:10880 DURANT RD STE 324
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6629
Mailing Address - Country:US
Mailing Address - Phone:919-787-7246
Mailing Address - Fax:919-787-7247
Practice Address - Street 1:10880 DURANT RD STE 324
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6629
Practice Address - Country:US
Practice Address - Phone:919-787-7246
Practice Address - Fax:919-787-7247
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLUO3440208100000X
FLOS13352208100000X
SC82190208VP0014X
NC2019-01947208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine