Provider Demographics
NPI:1528292711
Name:HUSSEINZADEH, HOLLEH DARIA (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLEH
Middle Name:DARIA
Last Name:HUSSEINZADEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1015 CHESTNUT ST STE 1321
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4313
Mailing Address - Country:US
Mailing Address - Phone:215-955-4730
Mailing Address - Fax:215-503-9188
Practice Address - Street 1:1015 CHESTNUT ST STE 1321
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4313
Practice Address - Country:US
Practice Address - Phone:215-955-4730
Practice Address - Fax:215-503-9188
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.016572207RH0000X
PAMD457412207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology