Provider Demographics
NPI:1437273380
Name:MVH MEDICAL PC
Entity Type:Organization
Organization Name:MVH MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-668-3806
Mailing Address - Street 1:PO BOX 2149
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06813-2149
Mailing Address - Country:US
Mailing Address - Phone:203-775-6659
Mailing Address - Fax:203-775-6692
Practice Address - Street 1:12 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2026
Practice Address - Country:US
Practice Address - Phone:914-664-8000
Practice Address - Fax:914-668-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01149339Medicaid
NYW18221Medicare PIN
NYW18221Medicare ID - Type Unspecified