Individual
DR. BAHMAN SHOLEVAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 S LIBERTY ST, ORWIGSBURG, PA 17961-2127
(570) 366-5096
(570) 366-8755
Mailing address
500 OFFICE CENTER DR, SUITE 100, FT WASHINGTON, PA 19034-3219
(215) 540-2150
(215) 540-8139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD019943E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019213270003
—
PA
Enumeration date
06/01/2006
Last updated
07/08/2007
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