Individual
DR. GHODRAT P SHOLEVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 W LEHIGH AVE, PHILADELPHIA, PA 19133
(215) 229-8857
Mailing address
222 RIGHTERS MILL RD, NARBERTH, PA 19072-1315
(610) 529-3136
(215) 291-8069
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
25MA05805100
NJ
2084P0800X
Psychiatry Physician
Primary
MD032346-L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD032346-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011198830001
PROMISE NUMBER
PA
Enumeration date
01/23/2007
Last updated
02/18/2022
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