Moradi, Issac Eshagh

Moradi, Issac Eshagh is an individual health care provider with primary practice located at 2221 Boston Rd , Bronx NY 10467-9005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moradi, Issac Eshagh can be contacted via phone (718) 798-3030.

Contact Information

Primary practice address
2221 Boston Rd Bronx NY 10467-9005
Fax: (718) 519-0603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 208978 New York

Profile Details

NPI number 1598742637
LBN Legal business name Moradi, Issac Eshagh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 26th, 2013 - about 11 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 1598742637 NPPES
New York MEDICAID 2407367

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