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NPI 1114331337 · live from the CMS NPI Registry

Tina Ahmadinejad, M.D.

Family Medicine in Philadelphia, PA. National Provider Identifier 1114331337, active.

NPI record

NPI1114331337 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1080 N Delaware Ave Ste 800, Philadelphia, PA 19125
Practice phone267-463-5800
EnumeratedJune 16, 2014
Last updatedJanuary 6, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000XMT207183 (PA)
Family Medicine primary207Q00000XMD460436 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.