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NPI Code Detail

MEDICARE: MOJTABA MESHKATO DINI M.D.

MEDICARE: MOJTABA MESHKATO DINI 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
1207Q00000XFamily Medicine Physician134363NY
2208000000XPediatrics Physician134363NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100820DLOTHERNYPREFERRED CARE
26613OTHERNYBLUE CROSS ROCHESTER GRP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659392660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOJTABA MESHKATO DINI M.D.
Provider Business Mailing Address
First Line : 82 HOLLAND ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2131
Country : US
Telephone Number : 585-423-2800
Fax Number : 585-423-2868
Provider Business Practice Location Address
First Line : 82 HOLLAND ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2131
Country : US
Telephone Number : 585-423-2800
Fax Number : 585-423-2868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 09/11/2025

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