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
Phone: (718) 798-3030
Fax: (718) 519-0603
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598742637 | NPPES |
| New York | MEDICAID | 2407367 |
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