Sadeghi, Mohammad Kazem

Sadeghi, Mohammad Kazem is an individual health care provider with primary practice located at 3370 Baychester Ave , Bronx NY 10475-1565. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sadeghi, Mohammad Kazem can be contacted via phone (718) 671-2823.

Contact Information

Primary practice address
3370 Baychester Ave Bronx NY 10475-1565
Phone: (718) 671-2823
Fax: (718) 671-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 045325-1 New York

Profile Details

NPI number 1568517431
LBN Legal business name Sadeghi, Mohammad Kazem
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
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 1568517431 NPPES
New York MEDICAID 02071396

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