Healthcare Provider Details

I. General information

NPI: 1831830017
Provider Name (Legal Business Name): PANTEA FARIDNIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE WRIGHT CENTER 501 S. WASHINGTON AVE
SCRANTON PA
18505
US

IV. Provider business mailing address

501 S WASHINGTON AVE
SCRANTON PA
18505-3814
US

V. Phone/Fax

Practice location:
  • Phone: 570-290-3234
  • Fax:
Mailing address:
  • Phone: 570-343-2383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA210563
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: