Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. POUYA HATAM-EBRAHIMI, D.M.D.
Active Sole ProprietorDR. POUYA HATAM-EBRAHIMI, D.M.D. is a Periodontology healthcare provider located in BLUE BELL, Pennsylvania. NPI 1043498306 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BLUE BELL, PA
Registration Details
- NPI Number
- 1043498306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2008 (18.551486527144 yrs)
- Last Updated
- Feb 8, 2008
- License
-
DS-029503-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
676 DEKALB PIKESUITE #207BLUE BELL, PA, 194221223Browse PA providers · Browse ZIP 19422
- Phone
- 6102724482
- Fax
- 6102724484
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.