Individual
FAREED DERAMBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19107-4414
(215) 955-8420
Mailing address
833 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19107-4414
(215) 955-9823
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD465829
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
09/18/2020
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