Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEHRDAD SOHEILIMOGHADAM
Active Sole ProprietorMEHRDAD SOHEILIMOGHADAM is a Periodontology healthcare provider located in NORTH WALES, Pennsylvania. NPI 1124414867 is currently active in the NPPES registry. Verify at CMS.
Periodontology · NORTH WALES, PA
Registration Details
- NPI Number
- 1124414867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2015 (11.351849068188 yrs)
- Last Updated
- Apr 9, 2015
- Licenses
-
0401414790 (VA)0401414790 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 WILDER WAYNORTH WALES, PA, 194541532Browse PA providers · Browse ZIP 19454
- Phone
- 3107606042
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.