Basic Information
| Provider Information | |||||||||
| NPI: | 1033317631 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMZEH LANGROUDI | ||||||||
| FirstName: | MEHRAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 RAWLINS DR | ||||||||
| Address2: | |||||||||
| City: | SEAFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199735881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026293923 | ||||||||
| FaxNumber: | 3026292503 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177655060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2007 | ||||||||
| LastUpdateDate: | 04/11/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | C1-0011677 | DE | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | MD431049 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 101941860 0002 | 05 | PA | MEDICAID | 120420404 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 878761 | 01 | PA | HEALTH AMERICA | OTHER | P00646935 | 01 | PA | RAILROAD MEDICARE | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 1564594 | 01 | PA | GATEWAY | OTHER | 1972885 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 25-1716306 | 01 | PA | GREATWEST | OTHER | G920/KV77CU | 01 | PA | CAREFIRST | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 50079757 | 01 | PA | CAPITAL BLUECROSS | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 2185639 | 01 | PA | MAMSI | OTHER | 248799 | 01 | PA | UNISON | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 9602199 | 01 | PA | AETNA NON-HMO | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | FH0333651 | 01 | PA | DEA | OTHER | MD431049 | 01 | PA | MEDICAL LICENSE | OTHER | 1923965 | 01 | PA | AETNA HMO | OTHER |