Doctor Name: | MEHRDAD GOLZAD |
NPI Number: | 1306813597 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | NY:202459-1 |
Business Practice Address: | 9131 Queens Blvd Elmhurst, NY - 113735555 |
Business Phone Number: | 7184542222 |
Business Fax Number: | 7182640257 |
Mailing Address: | Po Box 747939, REGO PARK |
State: | NY |
Postal Code: | 113747939 |
Phone Number: | 7184542222 |
Fax Number: | 7182640257 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | NY:202459-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |