Ghasemi, Mitra
Ghasemi, Mitra is an individual health care provider with primary practice located at 90 Presidential Plz Fl 2 , Syracuse NY 13202-2240. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Ghasemi, Mitra can be contacted via phone (315) 464-3835.Contact Information
Primary practice address
90 Presidential Plz Fl 2
Syracuse NY 13202-2240
Phone: (315) 464-3835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 229777 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 303813 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 303813 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 229777 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 303813 | New York |
Profile Details
| NPI number | 1780720763 |
|---|---|
| LBN Legal business name | Ghasemi, Mitra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Aug 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780720763 | NPPES |
| Massachusetts | MEDICAID | 2147670 |
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