Ayoob Khodadadi is a Specialist in Brooklyn, New York. Ayoob Khodadadi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ayoob Khodadadi is 1184674194. The last update date is 2008-04-16.
Ayoob Khodadadi's current location address is 2678 Gerritsen Ave, Brooklyn, New York. You can contact this provider via phone number 7183330275 and fax number 7183330224. The mailing address for Ayoob Khodadadi is 2678 Gerritsen Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ayoob Khodadadi |
|---|---|
| Address | 2678 Gerritsen Ave, Brooklyn, New York |
| Phone Number | 7183330275 |
| Fax Number | 7183330224 |
| Sole Proprietor | Y |
| Credentials | M.D., |
NPI Number Detail
| NPI Number | 1184674194 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 2678 Gerritsen Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112295947 |
| Phone Number | 7183330275 |
| Fax Number | 7183330224 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 113253-1 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 717955 | NY | -- |
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What is the unique identification code assigned to Ayoob Khodadadi by the Centers for Medicare & Medicaid Services?
The Ayoob Khodadadi has been issued the NPI (National Provider Identifier) 1184674194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ayoob Khodadadi's physical address?
The Ayoob Khodadadi is physically located at 2678 Gerritsen Ave, in the city of Brooklyn, NY, with the postal code 112295947.
What is Ayoob Khodadadi's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ayoob Khodadadi's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Ayoob Khodadadi receive its 1184674194 assignment from the Centers for Medicare & Medicaid Services?
The Ayoob Khodadadi was assigned its 1184674194 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ayoob Khodadadi's details last updated?
The information pertaining to the Ayoob Khodadadi, including its address, specialty, and other details, was most recently updated on 2008-04-16.