Individual
DR. MAZIAR SEYEDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
255 W LANCASTER AVE STE 232, PAOLI, PA 19301-1756
(610) 647-8000
Mailing address
255 W LANCASTER AVE STE 232, PAOLI, PA 19301-1756
(610) 647-8000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
28902
WV
2084N0400X
Neurology Physician
Primary
MD479493
PA
2084N0400X
Neurology Physician
TP379
KY
2084V0102X
Vascular Neurology Physician
28902
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326338534
—
WV
05
—
7100212120
—
KY
Enumeration date
04/10/2011
Last updated
01/09/2024
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