IRAJ REZVANI


Address: Erie Ave At Front St, Scpa Endocrinology, Philadelphia, PA 19134-1095
Phone: 2154278822

IRAJ REZVANI (NPI# 1457349359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457349359
Entity Type Individual
Full Name IRAJ REZVANI
Credential MD
Practice Address Erie Ave At Front St
Scpa Endocrinology
Philadelphia
PA 19134-1095
Practice Telephone 2154278822
Practice Fax Number 2154278830
Mailing Telephone 2154278822
Mailing Fax Number 2154278830
Enumeration Date 2005-10-13
Last Update Date 2007-09-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
MD033063L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0006658770004 05

Office Location

Street Address ERIE AVE AT FRONT ST
SCPA ENDOCRINOLOGY
City PHILADELPHIA
State PA
Zip Code 19134-1095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770732349 Kim Louise Fudge Physician Assistant Erie Ave At Front St, St Christopher's Hospital for Children, Philadelphia, PA 19134 2008-09-18
1649438045 Leah Scherzer Pediatrics Erie Ave At Front St, Philadelphia, PA 19134 2008-06-02
1093935298 Laura W Forrest Nurse Practitioner Erie Ave At Front St, Nelson Pavilion Ste 2045, - Scpa Gastroenterology, Philadelphia, PA 19134 2007-04-27
1205969607 Sandi Mae Vivienne See Tai Pediatrics Erie Ave At Front St, Philadelphia, PA 19134 2007-03-14
1235211046 Apple Drugs Inc Pharmacy Erie Ave At Front St, Philadelphia, PA 19134 2006-10-20
1831203421 Ignacio Valencia Psychiatry & Neurology Erie Ave At Front St, Scpa Neurology, Philadelphia, PA 19134 2006-08-19
1164466892 Cesar Igor Mesia Pediatrics Erie Ave At Front St, Philadelphia, PA 19134 2006-06-15
1023051182 Michael Louis Szatkowski Pediatrics Erie Ave At Front St, Philadelphia, PA 19134-1095 2006-06-14
1003853698 Rajeev Prasad Surgery Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 2006-06-01
1952358608 Marta Rozans Pediatrics Erie Ave At Front St, Philadelphia, PA 19134 2006-05-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
Find all providers in zip 19134

Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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/certification
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437367398 Anita Azam Pediatrics 3601 A. Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2007-05-21
1316022494 Judith L. Ross Pediatrics Dupont At Jefferson, 833 Chestnut Street East Suite 300, Philadelphia, PA 19107-4413 2006-10-26
1871137273 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1083104418 Stephanie Lauren Robbins Pediatrics 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 2018-05-10
1194239954 Ghada Faik Naji Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2017-11-30
1346750528 Ohoud Saleh Alzahrani Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-10-02
1619400611 Julia Crowley Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-04-06
1194110023 Sandra Vazquez Diaz Pediatrics 3401 Civic Center Blvd, Division of Pediatric Endocrinology, Philadelphia, PA 19104 2015-03-28
1467846949 Jaclyn Tamaroff Pediatrics 3401 Civic Center Blvd, Pediatric Endocrinology, Philadelphia, PA 19104 2015-03-23
1457771412 Winifred Mozelle Cantor Sigal Pediatrics 3401 Civic Center Blvd, Division of Endocrinology, Philadelphia, PA 19104 2014-04-17
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Competitor

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City PHILADELPHIA
Zip Code 19134

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Dataset Information

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.

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