Individual
NILOUFAR GHARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1622
(215) 707-0943
Mailing address
42772 PORTRAITS LN, TEMECULA, CA 92592-3091
(814) 215-1452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.015869
OH
207R00000X
Internal Medicine Physician
MD476461
PA
207R00000X
Internal Medicine Physician
OT018226
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
20A23107
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
04/01/2025
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