# MANHATTAN GASTROENTEROLOGY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922396472
- **Authorized official:** DR. SHAWN KHODADADIAN M.D. (OWNER)
- **Authorized official phone:** (646) 351-0911

## Contact information

- **Practice address:** 55 W 17TH ST, NEW YORK, NY 10011-5513
- **Practice address phone:** (212) 427-8761
- **Practice address fax:** (212) 427-8762
- **Mailing address:** 121 W 27TH ST STE 504, NEW YORK, NY 10001-6207
- **Mailing address phone:** (212) 427-8761
- **Mailing address fax:** (212) 427-8762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | 244392 | NY | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 10/05/2026