Provider Demographics
NPI:1659305985
Name:SOLTANIAN, HOOMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOOMAN
Middle Name:
Last Name:SOLTANIAN
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2390
Mailing Address - Fax:717-812-2388
Practice Address - Street 1:296 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4648
Practice Address - Country:US
Practice Address - Phone:717-812-2390
Practice Address - Fax:717-812-2388
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.088899208200000X
CT042585208200000X
PAMD418848208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221431OtherUNISON
OH000000503659OtherANTHEM
OH751013OtherBUCKEYE MEDICAID
OH7968425OtherAETNA
OHP00400489OtherMEDICARE RAILROAD
NE10025555600Medicaid
OH364033OtherWELLCARE MEDICAID
MI1659305985OtherMICHIGAN MEDICAID
OH2691878Medicaid
OH000000503659OtherANTHEM
MI1659305985OtherMICHIGAN MEDICAID
OH2691878Medicaid