Individual
DR. ANAHID KABASAKALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5401 OLD YORK ROAD, KLEIN BUILDING, SUITE 404, PHILADELPHIA, PA 19141
(215) 456-7190
(215) 456-7308
Mailing address
101 E OLNEY AVENUE, SUITE 400--PROVIDER ENROLLMENT, PHILADELPHIA, PA 19120-2421
(215) 254-2612
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MT182787
PA
Other
Enumeration date
04/25/2007
Last updated
03/28/2019
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