Individual
TOURAJ KHOSRAVI-HAFSHEJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCPC
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 1, PHILADELPHIA, PA 19104-5161
(215) 316-5151
Mailing address
1001 S BROAD ST APT 642, PHILADELPHIA, PA 19147-3665
(604) 842-4734
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD484162
PA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD484162
PA
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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