Rashidzada, Susan Ahdiya

Rashidzada, Susan Ahdiya is an individual health care provider with primary practice located at 4 Smith Haven Mall Ste 202 , Lake Grove NY 11755-1219. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rashidzada, Susan Ahdiya can be contacted via phone (631) 444-5858.

Contact Information

Primary practice address
4 Smith Haven Mall Ste 202 Lake Grove NY 11755-1219
Phone: (631) 444-5858
Fax: (631) 444-1899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 330946 New York

Profile Details

NPI number 1174100028
LBN Legal business name Rashidzada, Susan Ahdiya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2021
Last updated Jul 7th, 2024 - about 5 months 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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