MEDICARE: DR. RAMIN SHAYEGAN HASTINGS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	25MA09799600	NJ
2	207RI0011X	Interventional Cardiology Physician	256598	NY

General Provider Information

NPI Number	:	1477727030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMIN SHAYEGAN HASTINGS MD

Provider Business Mailing Address
First Line	:	777 TERRACE AVE STE 311
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-3112
Country	:	US
Telephone Number	:	201-288-4252
Fax Number	:	201-288-7172

Provider Business Practice Location Address
First Line	:	777 TERRACE AVE STE 311
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-3112
Country	:	US
Telephone Number	:	201-288-4252
Fax Number	:	201-288-7172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2008
Last Update Date	:	07/21/2022

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