IndividualActive
Benedicte Raissa Mahili Fah
NPI 1558046680 · Podiatrist · Philadelphia, PA
Provider details
- NPI number
- 1558046680
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AA0004689393 (PA)
Practice location
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone: (215) 456-8835
Mailing address
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Registry dates
- Enumerated
- 2023-06-16
- Last updated
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.