Farhadieh Morales, Mandana

Farhadieh Morales, Mandana is an sole proprietor health care provider with primary practice located at 6401 Stargaze Ln Ste 106 , Charlotte NC 28269-0802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Farhadieh Morales, Mandana can be contacted via phone (704) 591-7196.

Contact Information

Primary practice address
6401 Stargaze Ln Ste 106 Charlotte NC 28269-0802
Phone: (704) 591-7196
Fax: (704) 464-1818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02000068 North Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036103258 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD83399 South Carolina

Profile Details

NPI number 1740274869
LBN Legal business name Farhadieh Morales, Mandana
Credentials MD, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Jul 10th, 2020 - about 5 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 1740274869 NPPES
Illinois MEDICAID 036103258

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