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Manila Bagherzadeh-azar, MD
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1679664544

Manila Bagherzadeh-azar is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Manila Bagherzadeh-azar practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Manila Bagherzadeh-azar is 1679664544 and holds a License No. MD436864 (Pennsylvania).

The current practice location address for Manila Bagherzadeh-azar is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 610-688-3643.

Location: 3400 Spruce St, Philadelphia, PA, 19104-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679664544
Provider Name
Manila Bagherzadeh-azar
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3400 Spruce St, Philadelphia, PA, 19104-4206
Phone Number
610-688-3643
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00210259 01 AR RAILROAD MEDICARE
156606001 05 AR
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
610-688-3643
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104-4206
Phone Number
610-688-3643
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD436864 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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