Provider Demographics
NPI:1033317631
Name:HAMZEH LANGROUDI, MEHRAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHRAN
Middle Name:
Last Name:HAMZEH LANGROUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RAWLINS DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5881
Mailing Address - Country:US
Mailing Address - Phone:302-629-3923
Mailing Address - Fax:302-629-2503
Practice Address - Street 1:601 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2332
Practice Address - Country:US
Practice Address - Phone:717-765-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0011677207V00000X
PAMD431049207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007307260034OtherMEDICAID GROUP #
PA101941860 0002Medicaid
PA120420404OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA878761OtherHEALTH AMERICA
PAP00646935OtherRAILROAD MEDICARE
PA25-1716306OtherINFORMED
PA25-1716306OtherINTERGROUP
PA1564594OtherGATEWAY
PA1972885OtherHIGHMARK BLUESHIELD
PA25-1716306OtherGREATWEST
PAG920/KV77CUOtherCAREFIRST
PA25-1716306OtherFIRST HEALTH
PA50079757OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
PA2185639OtherMAMSI
PA248799OtherUNISON
PA25-1716306OtherDEVON
PA25-1716306OtherHEALTHNET/TRICARE
PA9602199OtherAETNA NON-HMO
PA25-1716306OtherMULTIPLAN/PHCS
PAMD431049OtherMEDICAL LICENSE
PA1923965OtherAETNA HMO
PA1923965OtherAETNA HMO
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherGREATWEST