Basic Information
Provider Information
NPI: 1013320704
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARGHINI
FirstName: RUBY
MiddleName: HASSANYEH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HASSANYEH
OtherFirstName: RUBY
OtherMiddleName: AKRAM
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 2450 W HUNTING PARK AVE
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191291302
CountryCode: US
TelephoneNumber: 2157078496
FaxNumber: 2157074086
Practice Location
Address1: 100 E LEHIGH AVE
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19125
CountryCode: US
TelephoneNumber: 2157078496
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2014
LastUpdateDate: 06/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XMD463216PAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home