Provider Demographics
NPI:1114019155
Name:SIMHAEE, ESKANDAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ESKANDAR
Middle Name:
Last Name:SIMHAEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:E.
Other - Middle Name:JACOB
Other - Last Name:SIMHAEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1201 NORTHERN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3001
Mailing Address - Country:US
Mailing Address - Phone:516-365-6167
Mailing Address - Fax:516-365-6308
Practice Address - Street 1:1201 NORTHERN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3001
Practice Address - Country:US
Practice Address - Phone:516-365-6167
Practice Address - Fax:516-365-6308
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159574207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00999808Medicaid
NY00999808Medicaid
NYA64735Medicare UPIN
NYGHI05164Medicare ID - Type Unspecified