MEDICARE: CORDIAL HEALTH PC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1659143329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORDIAL HEALTH PC

Provider Business Mailing Address
First Line	:	63 RAMAPO VALLEY RD STE 301
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-1131
Country	:	US
Telephone Number	:	347-667-7924
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 RAMAPO VALLEY RD STE 301
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-1131
Country	:	US
Telephone Number	:	347-667-7924
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAHMOOD MEHDI KAZMI
Credential	:
Telephone Number	:	347-667-7924

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	04/15/2026

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