Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRADJ MAANY
Active Sole ProprietorIRADJ MAANY is a Addiction Psychiatry healthcare provider located in PHILA, Pennsylvania. NPI 1912005794 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · PHILA, PA
Registration Details
- NPI Number
- 1912005794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.922680135902 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD 034141L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 WOODLAND AVEPHILA, PA, 191044551Browse PA providers · Browse ZIP 19104
- Phone
- 2158234300
- Fax
- 2158234040
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
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.