Baghaei-Rad, Mohammad

Baghaei-Rad, Mohammad is an individual health care provider with primary practice located at 5010 State Hwy 30 Ste 203, Amsterdam NY 12010. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Baghaei-Rad, Mohammad can be contacted via phone (518) 842-9850.

Contact Information

Primary practice address
5010 State Hwy 30 Ste 203 Amsterdam NY 12010
Fax: (518) 842-3854
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 036328 New York

Profile Details

NPI number 1649256173
LBN Legal business name Baghaei-Rad, Mohammad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 13th, 2007 - about 17 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 1649256173 NPPES
New York MEDICAID 00756565
New York Other 32685
New York Other 0004240

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