Provider Demographics
NPI:1619230133
Name:GERAMI, HOMA (MD)
Entity Type:Individual
Prefix:DR
First Name:HOMA
Middle Name:
Last Name:GERAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SPRAIN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3105
Mailing Address - Country:US
Mailing Address - Phone:914-713-8903
Mailing Address - Fax:
Practice Address - Street 1:23 SPRAIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3105
Practice Address - Country:US
Practice Address - Phone:914-713-8903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ36879207L00000X
NY280263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology