Ghavami, Zia

Ghavami, Zia is an sole proprietor health care provider with primary practice located at 119 Prospect St , Ridgewood NJ 07450-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ghavami, Zia can be contacted via phone (201) 445-1212.

Contact Information

Primary practice address
119 Prospect St Ridgewood NJ 07450-4405
Phone: (201) 445-1212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04003700 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 145846 New York

Profile Details

NPI number 1033154570
LBN Legal business name Ghavami, Zia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Apr 23rd, 2012 - about 12 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 1033154570 NPPES
New York MEDICAID 00589368
New York MEDICAID 3821200

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