MEDICARE: DR. KAMRAN YAHODAEI M.D.

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	208000000X	Pediatrics Physician	229533	NY

General Provider Information

NPI Number	:	1467420224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMRAN YAHODAEI M.D.

Provider Business Mailing Address
First Line	:	601 E 138TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2702
Country	:	US
Telephone Number	:	718-292-2682
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E 138TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2702
Country	:	US
Telephone Number	:	718-292-2682
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	12/19/2025

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