Organization · NPI-2

A. Khodadadi Radiology P.C.

Legal Medicine · Brooklyn, NY

NPI number1083664767
StatusActive
Last updated in NPPESApr 11, 2008

Details

NPI
1083664767
Entity type
Organization (NPI-2)
Legal business name
A. Khodadadi Radiology P.C.
Organization subpart
No
Enumeration date
May 11, 2006
Last updated
Apr 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine113253-1NYYes

Practice location

2678 Gerritsen Ave
Brooklyn, NY 11229-5947

Phone 718-333-0275 · Fax 718-333-0224

Mailing address

2678 Gerritsen Ave
Brooklyn, NY 11229-5947

Phone 718-333-0275 · Fax 718-333-0224

Authorized official

Ayoob Khodadadi
President
7183330207

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