1457459232 NPI number — MRS. ETEMAD ABD ELRAOF TALAAT RPH

Table of content: MRS. ETEMAD ABD ELRAOF TALAAT RPH (NPI 1457459232)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457459232 NPI number — MRS. ETEMAD ABD ELRAOF TALAAT RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TALAAT
Provider First Name:
ETEMAD
Provider Middle Name:
ABD ELRAOF
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457459232
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 NETHERFIELD LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTCHESTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19380
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-918-8276
Provider Business Mailing Address Fax Number:
610-918-8276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 BLACK HORSE HILL RD #119
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COATESVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-383-0282
Provider Business Practice Location Address Fax Number:
610-383-0269
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  24871 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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