DR. GHODRAT P SHOLEVAR (NPI# 1649324955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649324955 |
| Entity Type | Individual |
| Full Name | DR. GHODRAT P SHOLEVAR |
| Credential | MD |
| Practice Address |
618 W Lehigh Ave Philadelphia PA 19133 |
| Mailing Address |
222 Righters Mill Rd Narberth PA 19072-1315 |
| Practice Telephone | 2152298857 |
| Mailing Telephone | 6105293136 |
| Mailing Fax Number | 2152918069 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
25MA05805100 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD032346-L | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD032346-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE NUMBER | 1011198830001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 E Allegheny Ave, Philadelphia, PA 191342207 | 2152912917 | 2152918069 |
| Street Address |
618 W LEHIGH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417002320 | Nueva Vida Mental Health Center | Community/Behavioral Health | 618 W Lehigh Ave, Philadelphia, PA 19133-2227 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922317759 | Mindy Li | Medical Genetics | 3615 Civic Center Blvd, Children's Hosp of Philadelphia, Room 1002 Abramson Res. Bldg, Dept of Medical Genetics, Philadelphia, PA 19104-4399 | 2010-09-28 |
| 1083857858 | Reena Natwarlal Jethva | Medical Genetics | 3601 A Street, 3rd Floor Acp, Suite 3314, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 | 2009-04-09 |
| 1699878678 | Adele Schneider | Medical Genetics | 840 Walnut St Ste 1210, Philadelphia, PA 19107-5109 | 2006-09-06 |
| 1871139691 | Stc Opco LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1396389805 | Stc Pediatrics LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1336650456 | Kim Choong Wen Ng | Medical Genetics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-10-16 |
| 1396199543 | Rose Guo | Medical Genetics | 3401 Civic Center Blvd, Division of Human Genetics, Philadelphia, PA 19104 | 2016-04-13 |
| 1750776225 | Theodore George Drivas | Medical Genetics | 3400 Civic Center Blvd, Ste 3005, Philadelphia, PA 19104-5127 | 2015-04-01 |
| 1518355627 | University of Penn-medical Group | Medical Genetics | 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104-4238 | 2014-12-26 |
| 1639581598 | Alanna Strong | Medical Genetics | 3401 Civic Center Blvd, Division of Genetics, Philadelphia, PA 19104 | 2014-05-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
Please comment or provide details below to improve the information on DR. GHODRAT P SHOLEVAR.
| 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.