Individual
DR. KHOSROW BENJAMIN AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
242 N KESWICK AVE, GLENSIDE, PA 19038-4804
(215) 576-6414
(215) 576-8497
Mailing address
242 N KESWICK AVE, GLENSIDE, PA 19038-4804
(215) 576-6414
(215) 576-8497
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS025908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
505604
UNITED CONCORDIA ID NUMBE
PA
Enumeration date
01/12/2007
Last updated
12/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us