Mohtasham, Lida
Mohtasham, Lida is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Pulmonology, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Mohtasham, Lida can be contacted via phone (215) 590-3749.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Pulmonology
Philadelphia PA 19104-4319
Phone: (215) 590-3749
Fax: (215) 590-3500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD434388 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD434388 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MT205387 | Pennsylvania |
Profile Details
NPI number | 1225235237 |
---|---|
LBN Legal business name | Mohtasham, Lida |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 2nd, 2007 |
Last updated | Dec 2nd, 2014 - about 10 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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