Individual
LATAFAT ALIYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8253 BUSTLETON AVE, PHILADELPHIA, PA 19152-2425
(215) 745-5734
Mailing address
8253 BUSTLETON AVE, PHILADELPHIA, PA 19152-2425
(215) 745-5734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011099580001
MEDICAL ASSISTANCE
PA
01
—
9177885
HEALTH PARTNERS
PA
Enumeration date
10/20/2005
Last updated
05/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us