Rezvani, Iraj
Rezvani, Iraj is an individual health care provider with primary practice located at Erie Ave At Front St Scpa Endocrinology, Philadelphia PA 19134-1095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Rezvani, Iraj can be contacted via phone (215) 427-8822.Contact Information
Primary practice address
Erie Ave At Front St Scpa Endocrinology
Philadelphia PA 19134-1095
Phone: (215) 427-8822
Fax: (215) 427-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | MD033063L | Pennsylvania |
Profile Details
| NPI number | 1457349359 |
|---|---|
| LBN Legal business name | Rezvani, Iraj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Sep 27th, 2007 - about 18 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 | 1457349359 | NPPES |
| Pennsylvania | MEDICAID | 0006658770004 |
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