Individual
IRA LISTIJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 5TH AVE, SUITE 103, CHAMBERSBURG, PA 17201-4219
(717) 263-0550
Mailing address
111 CHAMBERS HILL DR STE 200, CHAMBERSBURG, PA 17201-7304
(717) 709-7922
(717) 263-2055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35083408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448506
—
OH
Enumeration date
05/20/2006
Last updated
06/28/2024
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