Provider Demographics
NPI:1033317631
Name:HAMZEH LANGROUDI, MEHRAN (MD)
Entity type:Individual
Prefix:DR
First Name:MEHRAN
Middle Name:
Last Name:HAMZEH LANGROUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:302-644-4830
Practice Address - Street 1:19405 PLANTATION RD
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4488
Practice Address - Country:US
Practice Address - Phone:302-480-1919
Practice Address - Fax:302-645-7945
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431049207V00000X
DEC1-0011677207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherHEALTHNET/TRICARE
PA9602199OtherAETNA NON-HMO
PAG920/KV77CUOtherCAREFIRST
PA1007307260034OtherMEDICAID GROUP #
PA1972885OtherHIGHMARK BLUESHIELD
PA25-1716306OtherDEVON
PAP00646935OtherRAILROAD MEDICARE
PA25-1716306OtherINTERGROUP
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA1564594OtherGATEWAY
PA1923965OtherAETNA HMO
PA25-1716306OtherFIRST HEALTH
PA25-1716306OtherMULTIPLAN/PHCS
PA878761OtherHEALTH AMERICA
PA120420404OtherDEPT OF LABOR
PA2185639OtherMAMSI
PA248799OtherUNISON
PA50079757OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
DEC1-0011677OtherDELAWARE DIVISION OF PROFESSIONAL REGULATION
PA25-1716306OtherINFORMED
PA25-1716306OtherGREATWEST
PAMD431049OtherMEDICAL LICENSE
PA1923965OtherAETNA HMO
PA25-1716306OtherMULTIPLAN/PHCS
PA25-1716306OtherGREATWEST