DR. ABUL ALA SYED RIFAT MANNAN (NPI# 1235570615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235570615 |
| Entity Type | Individual |
| Full Name | DR. ABUL ALA SYED RIFAT MANNAN |
| Credential | MD |
| Practice Address |
801 Spruce St Fl 10 Philadelphia PA 19107 |
| Mailing Address |
801 Spruce St Fl 10 Philadelphia PA 19107-5701 |
| Practice Telephone | 2158293000 |
| Mailing Telephone | 2158293000 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD460931 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD460931 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
801 SPRUCE ST FL 10 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750891362 | Peter Michael Jucovy | Pathology | 7414 Crittenden St, Philadelphia, PA 19119-1015 | 2017-10-09 |
| 1427478205 | Manju Ambelil | Pathology | 132 S 10th St # 285k, Philadelphia, PA 19107-5244 | 2014-04-21 |
| 1073879656 | Stacey Mardekian Gargano | Pathology | 132 S 10th St Ste 285k, Philadelphia, PA 19107-5244 | 2012-04-08 |
| 1780914937 | Kristina E Antoniades | Pathology | 260 St. Joseph's Way, Philadelphia, PA 19106 | 2010-01-12 |
| 1659512044 | Archibald Clinton Hewes | Pathology | 256 S Van Pelt St, Philadelphia, PA 19103-4813 | 2009-03-13 |
| 1972086650 | Temple Faculty Practice Plan, Inc | Pathology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1205222767 | Ashley N Vogel | Pathology | 111 S 11th St, Philadelphia, PA 19107 | 2015-04-11 |
| 1831584077 | Salvatore Fortunato Priore Jr. | Pathology | 800 Spruce St, Philadelphia, PA 19107-6130 | 2015-04-04 |
| 1447664230 | David Roth | Pathology | 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 | 2014-06-19 |
| 1912341918 | Danielle Fortuna | Pathology | 3400 Spruce St, Philadelphia, PA 19104 | 2013-04-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.