Individual
ATOUSA JAHANSHAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1000
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT226863
PA
Other
Enumeration date
06/14/2022
Last updated
06/18/2022
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