Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 221273 | NY |
NPI | 1013942994 |
---|---|
Provider Name | Khashayar Sehhat |
First Address | Eastchester, NY 10709 |
Second Address | Bronx, NY 10466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 02/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02461645 | (05) | NY |
H80862 | (02) | NY |