DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MEHRDAD KHODADOOSTAN MD

MEDICARE: MEHRDAD KHODADOOSTAN 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780379594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHRDAD KHODADOOSTAN MD
Provider Business Mailing Address
First Line : 19528 VENTURA BLVD APT 711
Second Line :
City : TARZANA
State : CA
Zip : 91356-2917
Country : US
Telephone Number : 310-245-8221
Fax Number :
Provider Business Practice Location Address
First Line : SISTERS OF CHARITY HOSPITAL, 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-706-2112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2023
Last Update Date : 04/07/2023

Similar Medicare Providers

1972454916 — TRINITY JOY SULLIVAN
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1578949467 — MORGAN ELIZABETH KILCULLEN P.A.
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1255717039 — DR. RICHARD VIGH MD
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1619322922 — DR. THOMAS MARINO M.D.
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-836-7510
Practice Fax: 716-832-3540
1609320795 — CLARE HALL CNM
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1558895201 — LOGAN D BLUNK D.O.
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-836-7510
Practice Fax:
1578068771 — DR. ZACHARY LEON BRUMBERGER MD
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:

Directions to “ MEHRDAD KHODADOOSTAN MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.