Individual
MITRA DOWLATSHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 W 168TH ST, VANDERBILT CLINIC 14-215, NEW YORK, NY 10032-3725
(212) 305-6719
Mailing address
630 W 168TH ST, VANDERBILT CLINIC 14-215, NEW YORK, NY 10032-3725
(212) 305-6719
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
311977
NY
Other
Enumeration date
04/28/2017
Last updated
07/15/2021
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