Khodadadian, David
Khodadadian, David is an sole proprietor health care provider with primary practice located at 357A Central Ave , Brooklyn NY 11221-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Khodadadian, David can be contacted via phone (718) 497-1757.Contact Information
Primary practice address
357A Central Ave
Brooklyn NY 11221-4701
Phone: (718) 497-1757
Fax: (718) 573-7856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 202828 | New York |
Profile Details
| NPI number | 1821097080 |
|---|---|
| LBN Legal business name | Khodadadian, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821097080 | NPPES |
| New York | MEDICAID | 01929111 | |
| New York | Other | 1821097080 |
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