MEDICARE: DR. RAMEEN MIARROSTAMI 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	207R00000X	Internal Medicine Physician	185733	NY
2	207RP1001X	Pulmonary Disease Physician	185733	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	:	1497734743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMEEN MIARROSTAMI MD

Provider Business Mailing Address
First Line	:	7124 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5203
Country	:	US
Telephone Number	:	718-234-3333
Fax Number	:	718-234-1104

Provider Business Practice Location Address
First Line	:	7124 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5203
Country	:	US
Telephone Number	:	718-234-3333
Fax Number	:	718-234-1104

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

Provider Enumeration Date	:	01/14/2006
Last Update Date	:	02/10/2015

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