Ghaffari, Mehrdad

Ghaffari, Mehrdad is an individual health care provider with primary practice located at 1414 Ninth Ave Station Medical Center, Altoona PA 16602-2415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Ghaffari, Mehrdad can be contacted via phone (814) 946-1655.

Contact Information

Primary practice address
1414 Ninth Ave Station Medical Center Altoona PA 16602-2415
Phone: (814) 946-1655
Fax: (814) 949-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD0431021 Pennsylvania
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X MD431021 Pennsylvania

Profile Details

NPI number 1770700718
LBN Legal business name Ghaffari, Mehrdad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 25th, 2011 - about 15 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 1770700718 NPPES
Pennsylvania MEDICAID 1021830380001

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