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DR. MANDANA FARHADIEH MORALES MD PC NPI 1740274869


NPI Information

NPI: 1740274869
Provider Name: DR. MANDANA FARHADIEH MORALES, MD, PC
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6401 STARGAZE LN STE 106
CHARLOTTE, NC
ZIP 28269
Phone: (704) 591-7196
Get Directions

DR. Mandana Farhadieh Morales, MD, PC is a pediatrics in Charlotte, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mandana Farhadieh Morales, MD, PC NPI is 1740274869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6401 STARGAZE LN STE 106
CHARLOTTE, NC
ZIP 28269-802
Phone: (704) 591-7196
Fax: (704) 464-1818

The NPI 1740274869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 7/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD83399SOUTH CAROLINAYes
2208000000XPediatrics02000068NORTH CAROLINANo
32080A0000XPediatricsAdolescent Medicine036103258ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036103258MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.