Individual
IMANEH FALLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 ST PAUL DR, CHAMBERSBURG, PA 17201-1035
(717) 217-6820
(717) 839-2768
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD472136
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103909558
—
PA
01
—
15141331
CAQH
—
Enumeration date
06/10/2016
Last updated
09/16/2021
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