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LIDA MOHTASHAM M.D. NPI 1225235237


NPI Information

NPI: 1225235237
Provider Name: LIDA MOHTASHAM, M.D.
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - PULMONOLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-3749
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Lida Mohtasham, M.D. is a pediatric pulmonology pediatrics in Philadelphia, PA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Lida Mohtasham, M.D. NPI is 1225235237. 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:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - PULMONOLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-3749
Fax: (215) 590-3500

The NPI 1225235237 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 7/2/2007 and was last updated on 12/2/2014.


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
1208000000XPediatricsMD434388PENNSYLVANIANo
22080P0214XPediatricsPediatric PulmonologyMD434388PENNSYLVANIAYes
32080P0214XPediatricsPediatric PulmonologyMT205387PENNSYLVANIANo

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.