Dr. Mohammad Amin Khoshnevisan
Dentist Oral and Maxillofacial Surgeon
1732 S Broad St
Philadelphia
, Pennsylvania 19145-2330
Dr. Mohammad Amin Khoshnevisan
Dentist Oral and Maxillofacial Surgeon
1732 S Broad St
Philadelphia
, Pennsylvania 19145-2330
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mohammad Amin Khoshnevisan
- 130 Elfreths Aly
- Philadelphia, PA
- Zip : 19106-2006
- Phone :
Second Address
- Dr. Mohammad Amin Khoshnevisan
- 1732 S Broad St
- Philadelphia, PA
- Zip : 19145-2330
- Phone : (301) 801-3998
Reviews
FAQs
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Is Dr. Mohammad Amin Khoshnevisan a sole practitioner?
Is Dr. Mohammad Amin Khoshnevisan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.026201 | OH |
| N | 122300000X | Dentist | DS042004 | PA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 018001949 | IL |
National Provider Identifier
| NPI | 1114308855 |
|---|---|
| Provider Name | Dr. Mohammad Amin Khoshnevisan |
| First Address | Philadelphia, PA 19106-2006 |
| Second Address | Philadelphia, PA 19145-2330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2015 |
| Last Update Date | 19/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.