Hatam-Ebrahimi, Pouya
Hatam-Ebrahimi, Pouya is an sole proprietor health care provider with primary practice located at 676 Dekalb Pike Suite #207, Blue Bell PA 19422-1223. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Hatam-Ebrahimi, Pouya can be contacted via phone (610) 272-4482.Contact Information
Primary practice address
676 Dekalb Pike Suite #207
Blue Bell PA 19422-1223
Phone: (610) 272-4482
Fax: (610) 272-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DS-029503-L | Pennsylvania |
Profile Details
| NPI number | 1043498306 |
|---|---|
| LBN Legal business name | Hatam-Ebrahimi, Pouya |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2008 |
| Last updated | Feb 8th, 2008 - about 16 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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