Etemad, Gity Banan

Etemad, Gity Banan is an sole proprietor health care provider with primary practice located at 15 Wistar Rd , Villanova PA 19085-1512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Etemad, Gity Banan can be contacted via phone (484) 433-2339.

Contact Information

Primary practice address
15 Wistar Rd Villanova PA 19085-1512
Phone: (484) 433-2339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD031935L Pennsylvania

Profile Details

NPI number 1861715716
LBN Legal business name Etemad, Gity Banan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2010
Last updated Mar 7th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861715716 NPPES
Other 208000000X TOXINOMY
Other MD031935L TOXINOMY

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