DR. REZA MADANI (NPI# 1336300052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336300052 |
| Entity Type | Individual |
| Full Name | DR. REZA MADANI |
| Credential | M.D. |
| Practice Address |
1740 South St Suite 301 Philadelphia PA 19146-1514 |
| Mailing Address |
2001 Hamilton St Apt E5 Philadelphia PA 19130-4201 |
| Practice Telephone | 2157355600 |
| Practice Fax Number | 2157355690 |
| Mailing Telephone | 2152198451 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD442322 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MT192992 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225068133 | Reza M. Madani | Dentist | 883 Edgell Rd, Suites #201-3, Framingham, MA 01701-3978 | 2006-07-04 |
| Street Address |
1740 SOUTH ST SUITE 301 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602876 | Steven R Russell | Internal Medicine | 1740 South St, Suite 500, Philadelphia, PA 19146-1514 | 2005-07-13 |
| 1831666775 | Angela Beth Disalvatore | Massage Therapist | 1740 South St, Ste 503, Philadelphia, PA 19146-1572 | 2018-10-29 |
| 1174061345 | Center City Pediatrics | Lactation Consultant, Non-RN | 1740 South St, Suite 200, Philadelphia, PA 19146-1514 | 2017-02-07 |
| 1407284755 | Center City Pediatrics, LLC | Speech-Language Pathologist | 1740 South St, Ste 301, Philadelphia, PA 19146-1514 | 2013-10-24 |
| 1760723225 | Uwamenya Maher | Nurse Practitioner | 1740 South St, Suite 300, Philadelphia, PA 19146-1514 | 2013-03-08 |
| 1720328800 | Sharon M Greis | Speech-Language Pathologist | 1740 South St, Suite 301, Philadelphia, PA 19146-1514 | 2013-02-26 |
| 1851637474 | Lam Oculofacial Plastic Surgery Pllc | Ophthalmology | 1740 South St, Suite 400, Philadelphia, PA 19146 | 2012-12-31 |
| 1629361852 | Advanced Arm Dynamics of Philadelphia | Occupational Therapist | 1740 South St, Suite 505, Philadelphia, PA 19146-1514 | 2011-05-20 |
| 1770872962 | Rothschild's Orthopedic Appliances | Prosthetic/Orthotic Supplier | 1740 South St, Suite 503, Philadelphia, PA 19146-1514 | 2011-03-29 |
| 1528393261 | Rittenhouse Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1740 South St, Suite 402, Philadelphia, PA 19146-1514 | 2009-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
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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.