Individual
MANILA BAGHERZADEH-AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130, PHILADELPHIA, PA 19104-4206
(610) 688-3643
Mailing address
3400 SPRUCE ST, RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130, PHILADELPHIA, PA 19104-4206
(610) 688-3643
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD436864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156606001
—
AR
01
—
P00210259
RAILROAD MEDICARE
AR
Enumeration date
09/27/2006
Last updated
10/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us