Shideh Doroudi, MD
Family Medicine in Paterson, NJ. Individual provider (NPI-1).
NPI number1427452465
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1427452465
- Entity type
- Individual (NPI-1)
- Name
- Shideh Doroudi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2014
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA09499400 | NJ | Yes |
Practice location
1020 Main St Ste CPaterson, NJ 07503-2244
Phone 862-336-1200 · Fax 862-236-1202
Mailing address
1020 Main St Ste CPaterson, NJ 07503-2244
Phone 862-336-1200 · Fax 862-236-1202
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