Azadfard, Mohammadreza

Azadfard, Mohammadreza is an individual health care provider with primary practice located at 16 Bank St Fl 2 , Batavia NY 14020-2250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Azadfard, Mohammadreza can be contacted via phone (585) 344-7276.

Contact Information

Primary practice address
16 Bank St Fl 2 Batavia NY 14020-2250
Phone: (585) 344-7276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT190346 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 258521 New York

Profile Details

NPI number 1689841488
LBN Legal business name Azadfard, Mohammadreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated Jun 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689841488 NPPES
New York MEDICAID 03292197

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