Individual
DR. REZA MICHAEL NEJATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-3675
(215) 728-2848
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-5281
(215) 728-5281
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD453919
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
07/27/2011
Last updated
07/17/2024
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