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DR. M HOSSEIN ETEZADY MD
NPI 1548249840
Psychiatry & Neurology - Child & Adolescent Psychiatry in Malvern, PA

Active since January 13, 2006
325 CENTRAL AVE, SUITE 102, MALVERN, PA 19355(610) 296-0142(610) 651-2880 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. M Hossein Etezady Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. M HOSSEIN ETEZADY MD (NPI 1548249840) is an individual child & adolescent psychiatry provider in Malvern, Pennsylvania, licensed in Pennsylvania (MD031576L) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1548249840
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. M HOSSEIN ETEZADYCredential: MD
Location Address325 CENTRAL AVE, SUITE 102Malvern, PA 19355-3219
Mailing Address325 Central Ave, Suite 102Malvern, PA 19355-3219 · (610) 296-0142 · Fax (610) 651-2880
Phone(610) 296-0142
Fax(610) 651-2880
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1548249840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD031576L
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
325 CENTRAL AVE, Malvern, PA 19355
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified073626P0TPA · Great Valley Health
Medicaid0009930090009PA
Medicaid0009930090008PA
Medicaid0009930090007PA
Medicare UPINB35002

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA BETH MEEDER CRNA
Nurse Anesthetist, Certified Registered
325 CENTRAL AVE, SUITE 200
MALVERN, PA 19355
Chester County (610) 644-6755
PAOLI PSYCHIATRIC ASSOCIATES
Psychiatry & Neurology (Psychiatry)
325 CENTRAL AVE, SUITE 102
MALVERN, PA 19355
Chester County (610) 296-0142
MICHAEL B WOLFSON M.D.
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Chester County (610) 644-6755
RUPAL KOTHARI D.O.
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Chester County (610) 644-6755
MAURA MACDONALD BARR DO
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, SUITE 200
MALVERN, PA 19355
Chester County (610) 644-6755
DR. RICHARD FREDERICK KOUP D.M.D.
Dentist (General Practice)
325 CENTRAL AVE, SUITE 101
MALVERN, PA 19355
Chester County (610) 644-0408
ANIL K SHARMA MD
Internal Medicine (Gastroenterology)
325 CENTRAL AVE, 2ND FLOOR
MALVERN, PA 19355
Chester County (610) 644-6755
TAKAHIRO IGNACIO NAKAMURA MD
Internal Medicine (Gastroenterology)
325 CENTRAL AVE
MALVERN, PA 19355
Chester County (610) 234-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M Hossein Etezady's NPI number?

The NPI number for M Hossein Etezady is 1548249840. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is M Hossein Etezady located?

M Hossein Etezady practices at 325 Central Ave Suite 102, Malvern, PA 19355. The listed phone number is (610) 296-0142.

What is M Hossein Etezady's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for M Hossein Etezady was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.