Provider Demographics
NPI:1730981275
Name:PASHO, ERVIDA
Entity type:Individual
Prefix:
First Name:ERVIDA
Middle Name:
Last Name:PASHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 ARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2601
Mailing Address - Country:US
Mailing Address - Phone:215-552-1888
Mailing Address - Fax:215-552-1888
Practice Address - Street 1:1719 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2601
Practice Address - Country:US
Practice Address - Phone:215-552-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA81113601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health