MEDICARE: DR. TOORAJ ZAHEDI 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A50277	CA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MA04949500	NJ
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	172612	NY

General Provider Information

NPI Number	:	1083672133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOORAJ ZAHEDI MD

Provider Business Mailing Address
First Line	:	PO BOX 920
Second Line	:
City	:	ALPINE
State	:	NJ
Zip	:	07620-0920
Country	:	US
Telephone Number	:
Fax Number	:	201-784-5643

Provider Business Practice Location Address
First Line	:	6860 AUSTIN ST
Second Line	:	SUITE 202
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4242
Country	:	US
Telephone Number	:	718-575-9734
Fax Number	:	718-575-5095

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	05/10/2019

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