Iraj, John R
Iraj, John R is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Iraj, John R can be contacted via phone (718) 670-1594.Contact Information
Primary practice address
5645 Main St
Flushing NY 11355-5045
Phone: (718) 670-1594
Fax: (718) 670-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 209807 | New York |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 209807 | New York |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 209807 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 209807 | New York |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 209807 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 209807 | New York |
Profile Details
| NPI number | 1376506139 |
|---|---|
| LBN Legal business name | Iraj, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Nov 3rd, 2011 - about 13 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 | 1376506139 | NPPES |
| New York | MEDICAID | 01899861 |
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