Marvasti, Mehdi A

Marvasti, Mehdi A is an individual health care provider with primary practice located at 104 Union Ave Suite 1008, Syracuse NY 13203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Marvasti, Mehdi A can be contacted via phone (315) 422-4442.

Contact Information

Primary practice address
104 Union Ave Suite 1008 Syracuse NY 13203
Phone: (315) 422-4442
Fax: (315) 448-6126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 141551 New York

Profile Details

NPI number 1053315044
LBN Legal business name Marvasti, Mehdi A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Nov 5th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053315044 NPPES
New York MEDICAID 00683532

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