Provider Demographics
NPI:1851041487
Name:GHADERIAN, ELHAM (MD)
Entity Type:Individual
Prefix:
First Name:ELHAM
Middle Name:
Last Name:GHADERIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 MURRAY AVE APT 803
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2453
Mailing Address - Country:US
Mailing Address - Phone:440-503-3382
Mailing Address - Fax:
Practice Address - Street 1:320 E NORTH AVE STE 133B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4772
Practice Address - Country:US
Practice Address - Phone:412-359-3166
Practice Address - Fax:412-359-8164
Is Sole Proprietor?:No
Enumeration Date:2022-03-26
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program