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Individual

DR. PARHAM MOFTAKHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2055 LIMESTONE RD STE 104, WILMINGTON, DE 19808-5536
(302) 933-7860
Mailing address
226 ATHENA CT, WILMINGTON, DE 19808-1567
(415) 933-7860

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
C1-0011366
DE
2085R0202X
Diagnostic Radiology Physician
A112460
CA
2085R0202X
Diagnostic Radiology Physician
C1-0011366
DE

Other

Enumeration date
05/19/2010
Last updated
03/19/2024
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