Derakhshan, Fatemeh
Derakhshan, Fatemeh is an individual health care provider with primary practice located at 622 W 168Th St Ph 15 , New York NY 10032-3720. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Derakhshan, Fatemeh can be contacted via phone (877) 426-5637.Contact Information
Primary practice address
622 W 168Th St Ph 15
New York NY 10032-3720
Phone: (877) 426-5637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 313804 | New York |
Profile Details
| NPI number | 1396312310 |
|---|---|
| LBN Legal business name | Derakhshan, Fatemeh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2021 |
| Last updated | May 12th, 2022 - about 4 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.
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