Abtahi, Parvaneh

Abtahi, Parvaneh is an individual health care provider with primary practice located at 1030 Reed Avenue Suite 114, Wyomissing PA 19610-2029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Abtahi, Parvaneh can be contacted via phone (610) 376-7365.

Contact Information

Primary practice address
1030 Reed Avenue Suite 114 Wyomissing PA 19610-2029
Fax: (610) 376-1320
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD065825L Pennsylvania

Profile Details

NPI number 1245213099
LBN Legal business name Abtahi, Parvaneh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245213099 NPPES
Pennsylvania MEDICAID 0018357750001

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