Individual
DR. GHODRAT P SHOLEVAR
Active
Individual
DR. GHODRAT P SHOLEVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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