Khodadadian, Jonathan J

Khodadadian, Jonathan J is an individual health care provider with primary practice located at 150 E Sunrise Hwy 208, Lindenhurst NY 11757-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy is his primary health care specialty. Khodadadian, Jonathan J can be contacted via phone (631) 225-7200.

Contact Information

Primary practice address
150 E Sunrise Hwy 208 Lindenhurst NY 11757-2539
Phone: (631) 225-7200
Fax: (631) 930-9451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 265565 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1275814618
LBN Legal business name Khodadadian, Jonathan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Jul 11th, 2012 - about 14 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.

Request for update

Popular Providers