Organization Active NPI

Javad Abdollahian MD, PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1093995672
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD029443L Issued in PA
Legal business name
JAVAD ABDOLLAHIAN MD, PC
Practice address
1411 Harrison St
Philadelphia, PA 19124-5932
Phone
(215) 289-8832
Fax
(215) 289-3497
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Javad Abdollahian
Title
Physician/Owner
Phone
(215) 289-8832

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD029443L PA Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD029443L PA

Addresses

Primary practice location

1411 Harrison St
Philadelphia, PA 19124-5932

Mailing address

1411 Harrison St
Philadelphia, PA 19124-5932
Phone (215) 289-8832

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1093995672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HARRISON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245932",
            "telephone_number": "215-289-8832",
            "fax_number": "215-289-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HARRISON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245932",
            "telephone_number": "215-289-8832",
            "fax_number": "215-289-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAD ABDOLLAHIAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ABDOLLAHIAN",
        "authorized_official_first_name": "JAVAD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "215-289-8832"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD029443L",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD029443L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.