Individual
DR. IDA TSAGHIG TEBERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7237
(215) 707-9389
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD467305
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103269932-0024
—
PA
05
—
1C5421
—
PA
05
—
1C5425
—
PA
Enumeration date
06/19/2014
Last updated
01/30/2026
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