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NPI Code Detail

MEDICARE: HOOMAN GHALENOEE

MEDICARE: HOOMAN GHALENOEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1043142581
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOOMAN GHALENOEE
Provider Business Mailing Address
First Line : 832 MICHIGAN AVE UNIT C
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1658
Country : US
Telephone Number : 240-642-9291
Fax Number :
Provider Business Practice Location Address
First Line : 240 S 40TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-6030
Country : US
Telephone Number : 215-898-8965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ HOOMAN GHALENOEE ” Practice Location

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