| Doctor Name: | PROF. BIJAN ETEMAD |
| NPI Number: | 1124253067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD32639L |
| Business Practice Address: | 15 Wistar Rd Villanova, PA - 190851512 |
| Business Phone Number: | 2158984301 |
| Business Fax Number: | 2158980509 |
| Mailing Address: | 15 Wistar Rd, VILLANOVA |
| State: | PA |
| Postal Code: | 190851512 |
| Phone Number: | 2158984301 |
| Fax Number: | 2158980509 |
| NPI Enumeration Date: | 05/21/2009 |
| NPI Last Update Date: | 05/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0805X |
| License Number: | MD32639L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Geriatric Psychiatry |
| Taxonomy Definition: | Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |