Provider Demographics
NPI:1487633319
Name:ESHGHI, ABDOLMAJID (MD)
Entity Type:Individual
Prefix:
First Name:ABDOLMAJID
Middle Name:
Last Name:ESHGHI
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:PO BOX 9192
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11555
Mailing Address - Country:US
Mailing Address - Phone:914-347-1900
Mailing Address - Fax:914-347-1957
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 1900
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532
Practice Address - Country:US
Practice Address - Phone:914-347-1900
Practice Address - Fax:914-347-1959
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162512208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00906092Medicaid
NY00906092Medicaid
A63101Medicare UPIN
NYA63101Medicare UPIN
NYW90492Medicare PIN