| Farhad Sholevar, Llc | |
|
2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 | |
| (610) 435-8989 | |
| (610) 435-8307 |
| Full Name | Farhad Sholevar, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2895 Hamilton Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Farhad Sholevar (OWNER) |
| Authorized Official Contact | 6104358986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farhad Sholevar, Llc 2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 Ph: (610) 435-8989 | Farhad Sholevar, Llc 2895 Hamilton Blvd Suite 104 Allentown PA 18104-6172 Ph: (610) 435-8989 |
| NPI Number | 1275620494 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275620494 | NPI | - | NPPES |
| 0011493890006 | Medicaid | PA | |
| 1417953761 | Other | PA | DR. S. INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD040068Y (Pennsylvania) | Primary |
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