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NPI Code Detail

MEDICARE: HOUMAN AHDIEH M.D.

MEDICARE: HOUMAN AHDIEH M.D.
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
1207W00000XOphthalmology PhysicianMD055726LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659371060
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOUMAN AHDIEH M.D.
Provider Business Mailing Address
First Line : 1739 W FAIRMONT ST
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-3189
Country : US
Telephone Number : 610-437-4988
Fax Number : 610-437-4176
Provider Business Practice Location Address
First Line : 1739 W FAIRMONT ST
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-3189
Country : US
Telephone Number : 610-437-4988
Fax Number : 610-437-4176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/12/2018

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