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

Manila Bagherzadeh-Azar, MD

Individual provider Diagnostic Radiology Physician · NPI 1679664544

Manila Bagherzadeh-Azar, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Qualified in 1991, 35 years ago. Practices with Jersey Shore Imaging LLC, a 149-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
35
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St Radiology Administration 1 Silverstein Ste 130
Philadelphia, PA 19104-4206
Phone: (610) 688-3643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD436864 (PA)

Record details

NPI number1679664544
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESOctober 18, 2024
Certification dateOctober 14, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Jersey Shore Imaging Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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