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Individual

FEREIDOUN BAKHSH TEHRANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6521 FRANKFORD AVE, PHILA, PA 19135
(215) 624-2303
(215) 624-2577
Mailing address
6521 FRANKFORD AVE, PHILA, PA 19135-2538
(215) 624-2303
(215) 624-2577

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039033L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022630210001
PA
Enumeration date
12/01/2005
Last updated
01/16/2020
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