Baradaran, Asadolah
Baradaran, Asadolah is an individual health care provider with primary practice located at 726 East Main St Ste 201, Middletown NY 10940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baradaran, Asadolah can be contacted via phone (845) 342-1495.Contact Information
Primary practice address
726 East Main St Ste 201
Middletown NY 10940
Phone: (845) 342-1495
Fax: (845) 342-1367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 192401 | New York |
Profile Details
| NPI number | 1114020682 |
|---|---|
| LBN Legal business name | Baradaran, Asadolah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114020682 | NPPES |
| Other | 23002 | GHI PPO | |
| Other | OR0000414 | GHI PPO | |
| MEDICAID | 01417216 | GHI PPO | |
| Other | 13539 | GHI PPO | |
| Other | 3584056003 | GHI PPO | |
| Other | 62270 | GHI PPO | |
| Other | ABA726109 | GHI PPO | |
| Other | 137122 | GHI PPO | |
| Other | YS041 | GHI PPO | |
| Other | 69H741 | GHI PPO | |
| Other | O46O793 | GHI PPO |
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