MEDICARE: DR. RAMIN ZAGHI

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	213E00000X	Podiatrist	N004521	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063483584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMIN ZAGHI

Provider Business Mailing Address
First Line	:	157 E 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2409
Country	:	US
Telephone Number	:	212-477-2244
Fax Number	:	212-477-3575

Provider Business Practice Location Address
First Line	:	157 E 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2409
Country	:	US
Telephone Number	:	212-477-2244
Fax Number	:	212-477-3575

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	03/03/2011

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