Baradaran, Asadolah

Baradaran, Asadolah is an individual health care provider with primary practice located at 726 East Main St Ste 201, Middletown NY 10940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baradaran, Asadolah can be contacted via phone (845) 342-1495.

Contact Information

Primary practice address
726 East Main St Ste 201 Middletown NY 10940
Phone: (845) 342-1495
Fax: (845) 342-1367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 192401 New York

Profile Details

NPI number 1114020682
LBN Legal business name Baradaran, Asadolah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 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 1114020682 NPPES
Other 23002 GHI PPO
Other OR0000414 GHI PPO
MEDICAID 01417216 GHI PPO
Other 13539 GHI PPO
Other 3584056003 GHI PPO
Other 62270 GHI PPO
Other ABA726109 GHI PPO
Other 137122 GHI PPO
Other YS041 GHI PPO
Other 69H741 GHI PPO
Other O46O793 GHI PPO

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