ALI KOOHDARY


Address: 9 Cedar Hollow Dr, Rose Valley, PA 19086-6719
Phone: 6105650406

ALI KOOHDARY (NPI# 1568885242) 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) 1568885242
Entity Type Individual
Full Name ALI KOOHDARY
Credential M.D.
Practice Address 9 Cedar Hollow Dr
Rose Valley
PA 19086-6719
Practice Telephone 6105650406
Practice Fax Number 6105650406
Mailing Telephone 6105650406
Mailing Fax Number 6105650406
Enumeration Date 2014-01-30
Last Update Date 2014-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice MD034752L PA Allopathic & Osteopathic Physicians

Office Location

Street Address 9 CEDAR HOLLOW DR
City ROSE VALLEY
State PA
Zip Code 19086-6719

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City ROSE VALLEY
Zip Code 19086

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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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