Individual
DR. KASHYAR KHODABAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(914) 428-0529
(718) 240-8607
Mailing address
PO BOX 95000-2446, PHILADELPHIA, PA 19195-2446
(914) 428-0529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301090255
MI
2084N0400X
Neurology Physician
Primary
258356
NY
Other
Enumeration date
04/24/2008
Last updated
06/27/2013
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