Azin Khanmohamadi Md Pc

LBN: Azin Khanmohamadi Md Pc
Azin Khanmohamadi Md Pc is an health care organization with primary practice located at 11 Lincoln Blvd , Clark NJ 07066-3227. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Azin Khanmohamadi Md Pc can be contacted via phone (732) 388-1508, or through Khanmohamadi, Azin via phone (732) 388-1508.

Contact Information

Primary practice address
11 Lincoln Blvd Clark NJ 07066-3227
Phone: (732) 388-1508
Fax: (732) 388-9040
Website:
Map and Directions
Authorized official contact:
Name: Khanmohamadi, Azin Doctor of Medicine (MD)
Phone: (732) 388-1508

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M067371 New Jersey

Profile Details

NPI number 1235262130
LBN Legal business name Azin Khanmohamadi Md Pc
DBA Doing business as
Authorized official Khanmohamadi, Azin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235262130 NPPES
New Jersey MEDICAID 2788705

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