Provider Demographics
NPI:1356610281
Name:ALAGHBAND, PEYMAN (MD)
Entity type:Individual
Prefix:
First Name:PEYMAN
Middle Name:
Last Name:ALAGHBAND
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 1:7006 ELIOT AVE APT B2
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1201
Mailing Address - Country:US
Mailing Address - Phone:347-322-3655
Mailing Address - Fax:
Practice Address - Street 1:7006 ELIOT AVE APT B2
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1201
Practice Address - Country:US
Practice Address - Phone:347-322-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264303207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology