Provider Demographics
NPI:1194985176
Name:ALBORZI, POONEH (MD)
Entity type:Individual
Prefix:DR
First Name:POONEH
Middle Name:
Last Name:ALBORZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W WASHINGTON SQ
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3500
Mailing Address - Country:US
Mailing Address - Phone:215-829-8420
Mailing Address - Fax:
Practice Address - Street 1:700 SPRUCE ST STE 403
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4027
Practice Address - Country:US
Practice Address - Phone:215-829-8420
Practice Address - Fax:215-829-8418
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433566207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology