IRADJ MAANY (NPI# 1912005794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912005794 |
Entity Type | Individual |
Full Name | IRADJ MAANY |
Practice Address |
3900 Woodland Ave Phila PA 19104-4551 |
Practice Telephone | 2158234300 |
Practice Fax Number | 2158234040 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD 034141L | PA | Allopathic & Osteopathic Physicians |
Street Address |
3900 WOODLAND AVE |
City | PHILA |
State | PA |
Zip Code | 19104-4551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720687742 | Sherita Gardner | Social Worker | 3900 Woodland Ave, Sw122, Phila, PA 19104-4594 | 2020-10-21 |
1457416984 | Kelly O Bieber | Nurse Practitioner | 3900 Woodland Ave, Phila, PA 19104-4551 | 2006-12-26 |
1205912672 | Joseph J Sipala | Pharmacist | 3900 Woodland Ave, Phila, PA 19104-4551 | 2006-10-28 |
1720162159 | Dennis Martin Geld | Pharmacist | 3900 Woodland Ave, Phila, PA 19104-4551 | 2006-10-24 |
1275633117 | Joseph A Zungolo | Pharmacist | 3900 Woodland Ave, Phila, PA 19104-4551 | 2006-09-22 |
1285744748 | Kathleen Patterson Weisbond | Physical Therapist | 3900 Woodland Ave, Phila, PA 19104-4551 | 2006-08-30 |
1053424077 | Remigio Victor Boccio | Internal Medicine | 3900 Woodland Ave, Gen Med-111, Phila, PA 19104-4551 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
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1447602255 | New Freedom Behavioral Health, LLC | Psychiatry & Neurology | 72 Hillside Ln, Fallsington, PA 19054-1133 | 2016-07-05 |
1669840930 | Recovery Pathways | Psychiatry & Neurology | 396 Locust Ave, Washington, PA 15301-3357 | 2015-09-03 |
1083820377 | Reading Hospital | Psychiatry & Neurology | Sharp Avenue & Frances Street, Laureldale, PA 19605 | 2007-05-15 |
1447384193 | Frederick Rhode Stoddard II | Psychiatry & Neurology | 349 Lancaster Ave Ste 206, Haverford, PA 19041 | 2007-03-15 |
1366518847 | Kimberly Toland Jones | Psychiatry & Neurology | 850 W Lancaster Ave, 2nd Fl Lower Merion Counseling Services, Bryn Mawr, PA 19010-3220 | 2006-11-28 |
1578649299 | Roy Christopher Monsour | Psychiatry & Neurology | 119 Dakota Ln, Ligonier, PA 15658-3617 | 2006-10-27 |
1548203425 | James Jay Nocks | Psychiatry & Neurology | 920 E Baltimore Pike, Kennett Square, PA 19348-1800 | 2006-06-14 |
1134789662 | 2 Crows LLC | Psychiatry & Neurology | 722 E Butler Pike, Ambler, PA 19002-2310 | 2019-06-17 |
1669901658 | Gnh Bhimasani Inc | Psychiatry & Neurology | 321 Lois Ln, State College, PA 16801-2561 | 2017-06-05 |
1497299085 | Quantum Health Practice, LLC | Psychiatry & Neurology | 505 York Rd, Suite 7a, Jenkintown, PA 19046-2136 | 2016-12-15 |
Find all providers with the same taxonomy |
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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.