DR. ALI KHOOBEHI (NPI# 1225234651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225234651 |
Entity Type | Individual |
Full Name | DR. ALI KHOOBEHI |
Credential | MD |
Practice Address |
2000 Grant Ave Ste 201 Philadelphia PA 19115-4378 |
Practice Telephone | 2159693944 |
Practice Fax Number | 2159693886 |
Mailing Telephone | 2159693944 |
Mailing Fax Number | 2159693886 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2012-11-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD440928 | PA | Allopathic & Osteopathic Physicians |
Street Address |
2000 GRANT AVE STE 201 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19115-4378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265417091 | Yevgeny Lerner | Anesthesiology | 2000 Grant Ave, Suite 101, Philadelphia, PA 19115-4378 | 2005-12-14 |
1083111835 | Gs Endoscopy Center LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-4378 | 2018-04-09 |
1477968014 | Advanced Spine and Pain of Pa, LLC | Anesthesiology | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2014-06-23 |
1194027920 | Grant Surgicenter LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-7287 | 2010-11-30 |
1518192202 | Chun Candy Yeung | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2009-05-25 |
1811191588 | Michael Lieb M D P C. | Internal Medicine | 2000 Grant Ave, Suite 102, Philadelphia, PA 19115-4378 | 2007-06-14 |
1356559850 | Maya Spodik | Internal Medicine | 2000 Grant Ave, Suite 102, Philadelphia, PA 19115-4378 | 2007-05-18 |
1609924794 | Kevin Chin | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2007-01-08 |
1568527372 | Mark L Bierhoff | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
1912062720 | Eugene M Mayer | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
Find all providers in zip 19115 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
1154447175 | Robert Singh | Surgery | 1900 Market St, Suite 115, Philadelphia, PA 19103-3527 | 2007-03-21 |
1770511578 | John Warren Robertson IIi | Surgery | 1940 E Walnut Lane, Philadelphia, PA 19138 | 2006-06-29 |
1851917959 | Ann Yufa | Surgery | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2020-06-24 |
1205497104 | Alexander Lam | Surgery | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-06-23 |
1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
1578053492 | Ziad Al Adas | Surgery | 3400 Spruce St, 4th Floor Maloney Building, Philadelphia, PA 19104-4238 | 2018-05-16 |
1235665308 | Christopher Blackstock | Surgery | 3400 Spruce St, Dept of Surgery, 4th Floor Maloney, Philadelphia, PA 19104-4238 | 2017-05-10 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19115 |
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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.