Dr Soroosh Mahboubi, MD | |
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104-4319 | |
(215) 590-7000 | |
(215) 590-9348 |
Full Name | Dr Soroosh Mahboubi |
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Gender | Male |
Speciality | Radiology - Pediatric Radiology |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043261522 | NPI | - | NPPES |
0006461470001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085P0229X | Radiology - Pediatric Radiology | MD035194L (Pennsylvania) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | MD035194L (Pennsylvania) | Secondary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Radiology Associates Of Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467403261 PECOS PAC ID: 0345154399 Enrollment ID: O20050209000265 |
Mailing Address | Practice Location Address |
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Dr Soroosh Mahboubi, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9232 | Dr Soroosh Mahboubi, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104-4319 Ph: (215) 590-7000 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Xin Qi Wei, DO Radiology Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5234 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 |