Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 172612 | NY |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA04949500 | NJ |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A50277 | CA |
NPI | 1083672133 |
---|---|
Provider Name | Dr. Tooraj Zahedi |
First Address | Alpine, NJ 07620-0920 |
Second Address | Forest Hills, NY 11375-4242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 10/05/2019 |