Provider Demographics
NPI:1700944840
Name:ASSADI, MAHSHID ARFANIA (MD)
Entity Type:Individual
Prefix:
First Name:MAHSHID
Middle Name:ARFANIA
Last Name:ASSADI
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 1:25 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1M MAHSHID ARFANIA ASSADI MD PC
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-315-3322
Mailing Address - Fax:212-307-0734
Practice Address - Street 1:25 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1M MAHSHID ARFANIA ASSADI MD PC
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-315-3322
Practice Address - Fax:212-307-0734
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139824207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
29D601Medicare ID - Type Unspecified
C07884Medicare UPIN