Healthcare Provider Details

I. General information

NPI: 1659766889
Provider Name (Legal Business Name): HEIDAR J ALBANDAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST STE 501
FOUNTAIN HILL PA
18015-1153
US

IV. Provider business mailing address

701 OSTRUM ST STE 501
FOUNTAIN HILL PA
18015-1153
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-7000
  • Fax: 484-503-7001
Mailing address:
  • Phone: 484-503-7000
  • Fax: 484-503-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD472789
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11500500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number28245
License Number StateWV
# 5
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number28245
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: