Provider Demographics
NPI:1093989105
Name:DEHKHARGHANI, SEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SEENA
Middle Name:
Last Name:DEHKHARGHANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 1ST AVE RM 315
Mailing Address - Street 2:ATTN: SARAH MCDERMOTT, DEPT. OF RADIOLOGY, NYU
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3295
Mailing Address - Country:US
Mailing Address - Phone:212-263-9531
Mailing Address - Fax:
Practice Address - Street 1:660 1ST AVE RM 315
Practice Address - Street 2:ATTN: SARAH MCDERMOTT, DEPT. OF RADIOLOGY, NYU
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3295
Practice Address - Country:US
Practice Address - Phone:212-263-9531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ817312085R0202X
NY2833122085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ81731OtherTRAINING PERMIT