Individual
NILOUFAR MASOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6621
(570) 271-6762
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6621
(570) 271-6762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LT001063
PA
207L00000X
Anesthesiology Physician
Primary
MD494846
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LT001063
MEDICAL LICENSE
PA
01
—
MD494846
MEDICAL LICENSE
PA
Enumeration date
05/06/2025
Last updated
04/22/2026
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