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NPI Code Detail

MEDICARE: NEWSHA Z GHODSI M.D.

MEDICARE: NEWSHA Z GHODSI 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
1207RC0000XCardiovascular Disease Physician210537NY
2207UN0901XNuclear Cardiology Physician210537NY

Other Identifiers

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

General Provider Information

NPI Number : 1811968613
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEWSHA Z GHODSI M.D.
Provider Business Mailing Address
First Line : 108 E 96TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-6217
Country : US
Telephone Number : 212-426-7300
Fax Number : 212-426-8385
Provider Business Practice Location Address
First Line : 108 E 96TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10128-6217
Country : US
Telephone Number : 212-426-7300
Fax Number : 212-426-8385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 04/07/2011

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