Provider Demographics
NPI:1376098277
Name:BIEM MEDICAL SERVICES
Entity Type:Organization
Organization Name:BIEM MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSTOM
Authorized Official - Middle Name:ARDESHIR
Authorized Official - Last Name:RASTINEHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-632-2436
Mailing Address - Street 1:271 W CIRCULAR ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6012
Mailing Address - Country:US
Mailing Address - Phone:646-632-2436
Mailing Address - Fax:518-587-8423
Practice Address - Street 1:271 W CIRCULAR ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6012
Practice Address - Country:US
Practice Address - Phone:646-632-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1137281208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty