Individual
DR. HEIDAR K JAHROMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD017196E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006004890001
—
PA
01
—
100639
MEDICARE
PA
Enumeration date
08/21/2006
Last updated
01/05/2023
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