Provider Demographics
NPI:1497734743
Name:MIARROSTAMI, RAMEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMEEN
Middle Name:
Last Name:MIARROSTAMI
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 1:7124 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5203
Mailing Address - Country:US
Mailing Address - Phone:718-234-3333
Mailing Address - Fax:718-234-1104
Practice Address - Street 1:7124 18TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5203
Practice Address - Country:US
Practice Address - Phone:718-234-3333
Practice Address - Fax:718-234-1104
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185733207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01392901Medicaid
NY01392901Medicaid
NYF57609Medicare UPIN
NY68H911Medicare PIN