FATEMA RAZVI ABIDI (NPI# 1093723850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093723850 |
| Entity Type | Individual |
| Full Name | FATEMA RAZVI ABIDI |
| Credential | MD |
| Practice Address |
30 Medical Center Blvd Suite 205 Upland PA 19013-3955 |
| Practice Telephone | 6106197410 |
| Practice Fax Number | 6104900925 |
| Mailing Telephone | 6106197410 |
| Mailing Fax Number | 6108768483 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101234519 | VA | Other Service Providers |
| Y | 208000000X | Pediatrics | MD440699 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101234519 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 205 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1568726669 | Michelle R Marcantuno | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2012-07-03 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100422 | Max V. Soliguen, M.d., Inc. Dba Kids First Pediatrics | Pediatrics | 1183 E Foothill Blvd Ste 230, Upland, CA 91786-4087 | 2018-07-18 |
| 1912343104 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 1101 N Euclid Ave, Upland, CA 91786-3233 | 2013-05-15 |
| 1477878130 | Payal Patel Ghayal | Pediatrics | 1777 Erika Ln, Upland, CA 91784-9277 | 2010-04-06 |
| 1699983114 | James Richard Marrone | Pediatrics | 1468 N Pinebrook Ave, Upland, CA 91786-2680 | 2007-05-18 |
| 1841412913 | Glenn Mendoza Perez | Pediatrics | 630 N.13th Ave., #a, Upland, CA 91786-4975 | 2007-05-02 |
| 1497820831 | Un Bong (anne) Lee Kim | Pediatrics | 360 E 7th St Ste M, Upland, CA 91786-6701 | 2006-11-21 |
| 1184720112 | Steve Randal Ejercito Firme | Pediatrics | 980 E Foothill Blvd Ste 102, Upland, CA 91786-4068 | 2006-09-16 |
| 1396758900 | May K Dagher | Pediatrics | 631 N 13th Avenue, Ste E, Upland, CA 91786-4978 | 2006-08-14 |
| 1134179401 | Nancy Botros | Pediatrics | 440 N Mountain, Suite 112, Upland, CA 91786 | 2006-05-10 |
| 1700866894 | Max Vinco Soliguen | Pediatrics | 1183 E Foothill Blvd, Suite 230, Upland, CA 91786 | 2006-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.