ARASTOO VOSSOUGH MODARRESS MD NPI 1881614667

NPI Information

NPI: 1881614667
Provider Name: ARASTOO VOSSOUGH MODARRESS, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1030
Get Directions

Arastoo Vossough Modarress, MD is a neuroradiology radiology in Philadelphia, PA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Arastoo Vossough Modarress, MD NPI is 1881614667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1030
Fax: (215) 590-9348

The NPI 1881614667 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 7/21/2006 and was last updated on 5/15/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	220265	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	220265	MASSACHUSETTS	No
3	2085R0202X	Radiology	Diagnostic Radiology	MD430990	PENNSYLVANIA	No
4	2085R0202X	Radiology	Diagnostic Radiology	25MA09281700	NEW JERSEY	No
5	2085N0700X	Radiology	Neuroradiology	25MA09281700	NEW JERSEY	No
6	2085N0700X	Radiology	Neuroradiology	MD430990	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	I09939	MEDICARE UPIN	MASSACHUSETTS
2	2068915	MEDICAID	MASSACHUSETTS
3	111902	MEDICARE PIN	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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