Farhad Sholevar, Llc | |
2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 | |
(610) 435-8989 | |
(610) 435-8307 |
Full Name | Farhad Sholevar, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2895 Hamilton Blvd, Allentown, Pennsylvania |
Authorized Official Name and Position | Farhad Sholevar (OWNER) |
Authorized Official Contact | 6104358986 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Farhad Sholevar, Llc 2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 Ph: (610) 435-8989 | Farhad Sholevar, Llc 2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 Ph: (610) 435-8989 |
NPI Number | 1275620494 |
---|---|
Provider Enumeration Date | 10/09/2006 |
Last Update Date | 01/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275620494 | NPI | - | NPPES |
0011493890006 | Medicaid | PA | |
1417953761 | Other | PA | DR. S. INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD040068Y (Pennsylvania) | Primary |
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