Fallahi, Imaneh
Fallahi, Imaneh is an individual health care provider with primary practice located at 12 St Paul Dr , Chambersburg PA 17201-1035. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Fallahi, Imaneh can be contacted via phone (717) 217-6820.Contact Information
Primary practice address
12 St Paul Dr
Chambersburg PA 17201-1035
Phone: (717) 217-6820
Fax: (717) 839-2768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico | |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD472136 | Pennsylvania |
Profile Details
NPI number | 1114376043 |
---|---|
LBN Legal business name | Fallahi, Imaneh |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2016 |
Last updated | Sep 16th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114376043 | NPPES |
Pennsylvania | MEDICAID | 103909558 | |
Pennsylvania | Other | 15141331 |
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