DR. BANAFSHEH LOTFI MOGHADDAS (NPI# 1730593377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730593377 |
| Entity Type | Individual |
| Full Name | DR. BANAFSHEH LOTFI MOGHADDAS |
| Credential | M.D. |
| Practice Address |
24 W Washington St Bradford PA 16701-1280 |
| Practice Telephone | 8143681000 |
| Practice Fax Number | 8143681008 |
| Mailing Telephone | 8143681000 |
| Mailing Fax Number | 8143681008 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD461587 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
24 W WASHINGTON ST |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441222 | Mariann Kahle | Dietitian, Registered | 24 W Washington St, Bradford, PA 16701-1280 | 2005-07-21 |
| 1528555844 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 24 W Washington St, Bradford, PA 16701-1280 | 2018-04-23 |
| 1679915391 | Christie E Slottje | Physician Assistant | 24 W Washington St, Bradford, PA 16701-1280 | 2013-07-23 |
| 1306062633 | Qazi A. Jamil, Md Inc | Internal Medicine | 24 W Washington St, Bradford, PA 16701-1280 | 2007-04-17 |
| 1396859658 | Qazi Jamil | Internal Medicine | 24 W Washington St, Bradford, PA 16701-1280 | 2006-08-17 |
| 1710910450 | V&s Medical Associates, LLC | Internal Medicine | 24 W Washington St, Bradford, PA 16701-1280 | 2006-07-08 |
| 1780612440 | Twintier Physical Rehab, LLC | Clinic/Center | 24 W Washington St, Suite B, Bradford, PA 16701-1280 | 2006-06-29 |
| 1356387674 | Robert Daniel Baker | Physical Therapist | 24 W Washington St, Bradford, PA 16701-1280 | 2006-06-22 |
| 1942262563 | Peter Vaccaro | Internal Medicine | 24 W Washington St, Bradford, PA 16701-1233 | 2006-04-06 |
| 1336101468 | Kamran Saleh | Internal Medicine | 24 W Washington St, Bradford, PA 16701-1233 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1629012968 | Singh & Nadella | Family Medicine | 6 N Center St, Bradford, PA 16701-1903 | 2006-06-16 |
| 1245272525 | Bradford Family Medicine, Inc. | Family Medicine | 14 N 3rd St, Bradford, PA 16701-3335 | 2006-06-12 |
| 1366494536 | Venkateswara Rao Nadella | Family Medicine | 6 North Center Street, Bradford, PA 16701 | 2006-05-16 |
| 1669454591 | Frank A Oberti IIi | Family Medicine | 143 S Main St, Bradford, MA 01835-7438 | 2005-11-16 |
| 1679579536 | Glen C. Knowles | Family Medicine | 203 West Main Street, Bradford, AR 72020 | 2005-06-24 |
| 1922459361 | Nerissa Baptiste | Family Medicine | 116 Interstate Pkwy Ste 41, Bradford, PA 16701 | 2016-06-27 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| 1386873339 | Lakshmi Rao Polavarapu | Family Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2009-07-13 |
| Find all providers in BRADFORD | ||||
Please comment or provide details below to improve the information on DR. BANAFSHEH LOTFI MOGHADDAS.
| 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.