Provider Demographics
NPI:1497430706
Name:CONTEMPORARY WOMEN'S HEALTH OF MONTGOMERY PLLC
Entity Type:Organization
Organization Name:CONTEMPORARY WOMEN'S HEALTH OF MONTGOMERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-636-6487
Mailing Address - Street 1:45 N 6TH ST APT 598
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1106
Mailing Address - Country:US
Mailing Address - Phone:347-636-6487
Mailing Address - Fax:
Practice Address - Street 1:45 N 6TH ST APT 598
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1106
Practice Address - Country:US
Practice Address - Phone:347-636-6487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty