Mehdi A Marvasti
Cardiothoracic Vascular Surgeon
104 Union Ave Suite 1008
Syracuse
, New York 13203
Mehdi A Marvasti
Cardiothoracic Vascular Surgeon
104 Union Ave Suite 1008
Syracuse
, New York 13203
(315) 448-6126
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mehdi A Marvasti
- 104 Union Ave Suite 1008
- Syracuse, NY
- Zip : 13203
- Fax : (315) 448-6126
- Phone : (315) 422-4442
Second Address
- Mehdi A Marvasti
- 104 Union Ave Suite 1008
- Syracuse, NY
- Zip : 13203
- Fax : (315) 448-6126
- Phone : (315) 422-4442
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Is Mehdi A Marvasti a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 141551 | NY |
National Provider Identifier
| NPI | 1053315044 |
|---|---|
| Provider Name | Mehdi A Marvasti |
| First Address | Syracuse, NY 13203 |
| Second Address | Syracuse, NY 13203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 05/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00683532 | (05) | NY |
| B81970 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.