Moshe H Shirazi Md Pllc | |
700 Old Country Rd Suite 202 Plainview NY 11803 | |
(516) 433-4828 | |
(516) 433-1895 |
Full Name | Moshe H Shirazi Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 700 Old Country Rd, Plainview, New York |
Authorized Official Name and Position | Farhad H Shirazi (OWNER) |
Authorized Official Contact | 5164334828 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Moshe H Shirazi Md Pllc 700 Old Country Rd Suite 202 Plainview NY 11803 Ph: (516) 433-4828 | Moshe H Shirazi Md Pllc 700 Old Country Rd Suite 202 Plainview NY 11803 Ph: (516) 433-4828 |
NPI Number | 1174707251 |
---|---|
Provider Enumeration Date | 12/24/2007 |
Last Update Date | 09/27/2010 |
Medicare PECOS PAC ID | 5991831828 |
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Medicare Enrollment ID | O20110609000049 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174707251 | NPI | - | NPPES |
01837278 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 196396 (New York) | Primary |
Provider Name | Farhad H Shirazi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215000914 PECOS PAC ID: 6901932839 Enrollment ID: I20110609000061 |
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