Dr. M Hossein Etezady is a Malvern, Pennsylvania based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. M Hossein Etezady is MD031576L for Child & Adolescent in Pennsylvania. His current practice location is 325 Central Ave, Suite 102, Malvern. Patients can reach him at 610-296-0142 or can fax him at 610-651-2880. Dr. M Hossein Etezady is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1548249840. Dr. M Hossein Etezady has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. M Hossein Etezady speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. M Hossein Etezady
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD
Practice Address:
325 Central Ave, Suite 102, Malvern, Pennsylvania, 19355-3219
Phone:
610-296-0142
Fax:
610-651-2880
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1548249840
NPI Enumeration Date:
13 Jan, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. M Hossein Etezady are as mentioned below.
License Number
Specialization
State
Status
MD031576L
Child & Adolescent
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. M Hossein Etezady such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0009930090007
Medicaid
Pennsylvania
0009930090008
Medicaid
Pennsylvania
0009930090009
Medicaid
Pennsylvania
232359401
Other
Pennsylvania
GREAT VALLEY HEALTH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. M Hossein Etezady 325 Central Ave, Suite 102 Malvern, Pennsylvania
Zip:
19355-3219
Phone Number:
610-296-0142
Fax Number:
610-651-2880
Patients can reach Dr. M Hossein Etezady at 325 Central Ave, Suite 102, Malvern, Pennsylvania or can call to book an appointment on 610-296-0142.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.