Individual
DR. SHADI SADEGHI YARANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, FL 4, PHILADELPHIA, PA 19104-5127
(410) 933-6421
(410) 933-1390
Mailing address
3400 CIVIC CENTER BLVD, FL 4, PHILADELPHIA, PA 19104-5127
(410) 933-6421
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD472225
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D83909
LICENSE
MD
Enumeration date
05/18/2011
Last updated
09/10/2021
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