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
Phone: (518) 842-9850
Fax: (518) 842-3854
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649256173 | NPPES |
New York | MEDICAID | 00756565 | |
New York | Other | 32685 | |
New York | Other | 0004240 |
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