Individual
BITA MOMENAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
(215) 955-9837
(215) 955-9870
Mailing address
241 S 6TH ST APT 2203, PHILADELPHIA, PA 19106-3735
(805) 418-0214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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