ANAHITA F DEBOO


Address: 3509 N Broad St, Philadelphia, PA 19140-4105
Phone: 2157073040

ANAHITA F DEBOO (NPI# 1548219439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548219439
Entity Type Individual
Full Name ANAHITA F DEBOO
Credential MD
Practice Address 3509 N Broad St
Philadelphia
PA 19140-4105
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157073040
Practice Fax Number 2157078235
Mailing Telephone 2157073040
Mailing Fax Number 2157078235
Enumeration Date 2006-05-08
Last Update Date 2016-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD069435L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001900363 05

Office Location

Street Address 3509 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669466793 Riyaz Bashir Internal Medicine 3509 N Broad St, Philadelphia, PA 19140-5103 2005-09-05
1750841151 Chloe Beiler Physician Assistant 3509 N Broad St, Philadelphia, PA 19140-4105 2019-03-21
1770068041 Chirantan Vinodbhai Mangukia Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-10-02
1891278933 Temple Faculty Practice Plan, Inc Speech-Language Pathologist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-14
1396228508 Temple Faculty Practice Plan, Inc Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1992288112 Temple Faculty Practice Plan, Inc Urology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1023591781 Temple Faculty Practice Plan, Inc Otolaryngology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1154804839 Temple Faculty Practice Plan, Inc Physical Therapist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1902389646 Temple Faculty Practice Plan, Inc Neurological Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1245713908 Temple Faculty Practice Plan, Inc Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972060176 Ncv Diagnostics LLC Psychiatry & Neurology 1 Brown St Ste C, Philadelphia, PA 19123-3361 2019-02-23
1982102133 Sonia Anand-nichols Md PC Psychiatry & Neurology 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 2018-01-23
1205357886 Kenneth Gross Psychiatry & Neurology 777 S Broad St Apt 412, Philadelphia, PA 19147-2509 2017-07-04
1417339409 Leonel Jorge Favio Estofan Psychiatry & Neurology 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 2015-06-25
1073900700 Pavan Anil Vaswani Psychiatry & Neurology 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 2015-04-21
1942613369 Mia Chwan Ko Psychiatry & Neurology 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 2014-06-03
1912340415 Simy Kabaria Parikh Psychiatry & Neurology 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 2013-04-15
1215295118 Curtis Brandon Allumbaugh Psychiatry & Neurology 833 Chestnut St Ste 220, Philadelphia, PA 19107 2012-04-27
1013201870 Enrique Aradillas Lopez Psychiatry & Neurology 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 2011-06-08
1598076358 Hristelina S. Ilieva Psychiatry & Neurology 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 2010-06-27
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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