Pouya Hatam-Ebrahimi, D.M.D

NPI 1043498306 · on the registry since 2008 · sole proprietor

Practice

Address: 676 Dekalb Pike
Suite #207
Blue Bell, PA 19422
Phone: (610) 272-4482
Fax: (610) 272-4484
Organisation at this address: Rituals Wellness Llc
Apex Physical Therapy, Llc
Apex Practice Management, Llc
Fornance Physician Services, Inc
Einstein Medical Center Montgomery
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania