Khodadadian, Parvis K.

Khodadadian, Parvis K. is an individual health care provider with primary practice located at 150 E Sunrise Hwy Suite 201, Lindenhurst NY 11757-2598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Khodadadian, Parvis K. can be contacted via phone (631) 225-7200.

Contact Information

Primary practice address
150 E Sunrise Hwy Suite 201 Lindenhurst NY 11757-2598
Phone: (631) 225-7200
Fax: (631) 225-4565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 113499 New York

Profile Details

NPI number 1871563304
LBN Legal business name Khodadadian, Parvis K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 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 1871563304 NPPES
New York MEDICAID 00206340

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