Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Farzad Nourollah-Zadeh

Individual provider Oral Medicine Dentistry · NPI 1306451695

Farzad Nourollah-Zadeh is an Oral Surgery in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2020

Practice location Address checks out

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (267) 307-3827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral Medicine Dentistry (primary) Taxonomy 125Q00000X · Licence 23-1352685 (PA)

Record details

NPI number1306451695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2020
Last updated in NPPESSeptember 13, 2020
Certification dateSeptember 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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