Farhadieh Morales, Mandana
Farhadieh Morales, Mandana is an sole proprietor health care provider with primary practice located at 6401 Stargaze Ln Ste 106 , Charlotte NC 28269-0802. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Farhadieh Morales, Mandana can be contacted via phone (704) 591-7196.Contact Information
Primary practice address
6401 Stargaze Ln Ste 106
Charlotte NC 28269-0802
Phone: (704) 591-7196
Fax: (704) 464-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036103258 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 02000068 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 85692 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD83399 | South Carolina |
Profile Details
| NPI number | 1740274869 |
|---|---|
| LBN Legal business name | Farhadieh Morales, Mandana |
| Credentials | MD, PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jan 20th, 2026 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740274869 | NPPES |
| Illinois | MEDICAID | 036103258 |
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