Individual
ELLEN SHOLEVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3440 MARKET STREET, 200, PHILADELPHIA, PA 19104
(215) 590-7555
Mailing address
3440 MARKET STREET, 200, PHILADELPHIA, PA 19104
(215) 590-7555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-009811E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013919910008
—
PA
Enumeration date
10/17/2005
Last updated
02/05/2015
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