Provider Demographics
NPI:1063483584
Name:ZAGHI, RAMIN
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:ZAGHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2409
Mailing Address - Country:US
Mailing Address - Phone:212-477-2244
Mailing Address - Fax:212-477-3575
Practice Address - Street 1:157 E 18TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2409
Practice Address - Country:US
Practice Address - Phone:212-477-2244
Practice Address - Fax:212-477-3575
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004521213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01475709Medicaid
NY01475709Medicaid
NYT89837Medicare UPIN
NYP49961Medicare ID - Type Unspecified