| Nader Rahmanian Md Llc | |
|
1416 Penn Ave Wyomissing PA 19610-2134 | |
| (610) 376-3936 | |
| (610) 372-0215 |
| Full Name | Nader Rahmanian Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1416 Penn Ave, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Nader Rahmanian (OWNER) |
| Authorized Official Contact | 6103763936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nader Rahmanian Md Llc 1416 Penn Ave Wyomissing PA 19610-2134 Ph: (610) 376-3936 | Nader Rahmanian Md Llc 1416 Penn Ave Wyomissing PA 19610-2134 Ph: (610) 376-3936 |
| NPI Number | 1518354851 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 04/24/2015 |
| Medicare PECOS PAC ID | 1355662834 |
|---|---|
| Medicare Enrollment ID | O20150609002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518354851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nader Rahmanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124102124 PECOS PAC ID: 7618076712 Enrollment ID: I20070821000105 |
| Provider Name | Codi L Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538694179 PECOS PAC ID: 9931478765 Enrollment ID: I20170710002509 |
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