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Individual
LIDA MOHTASHAM
Active
Individual
LIDA MOHTASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD434388
PA
2080P0214X
Pediatric Pulmonology Physician
Primary
MD434388
PA
2080P0214X
Pediatric Pulmonology Physician
MT205387
PA
Other
Enumeration date
07/02/2007
Last updated
08/27/2025
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