Sara Licenji Matraku, is a
Student In An Organized Health Care Education/training Program based in Huntingdon Valley, Pennsylvania. Sara Licenji Matraku is licensed to practice in * (Not Available) (license number ) and her current practice location is
3915 Blake Rd, Huntingdon Valley, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 752-3175.
NPI number for Sara Licenji Matraku is 1356225890 and her current mailing address is 3915 Blake Rd, Huntingdon Valley, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356225890.
Provider's Profile
| Full Name | Sara Licenji Matraku |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3915 Blake Rd, Huntingdon Valley, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356225890
- Provider Enumeration Date: 08/05/2025
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Sara Licenji Matraku such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356225890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Licenji Matraku is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara Licenji Matraku,
3915 Blake Rd,
Huntingdon Valley, PA 19006-2318
Ph: () - | Sara Licenji Matraku,
3915 Blake Rd,
Huntingdon Valley, PA 19006-2318
Ph: (267) 752-3175 |
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