Provider Demographics
NPI:1346756806
Name:BARBAR-ZADE, SALEKH (ACCESS 2 HEALTH INC)
Entity Type:Individual
Prefix:
First Name:SALEKH
Middle Name:
Last Name:BARBAR-ZADE
Suffix:
Gender:M
Credentials:ACCESS 2 HEALTH INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1281 PENNS GATE CIR
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13023 BUSTLETON AVE STE 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-1672
Practice Address - Country:US
Practice Address - Phone:215-613-6450
Practice Address - Fax:215-613-5229
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA32403601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033071940001Medicaid