Individual
SAM MOGHTADERI
Active
Individual
SAM MOGHTADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
043702
DC
207XS0106X
Orthopaedic Hand Surgery Physician
247012
NY
Other
Enumeration date
06/28/2007
Last updated
12/31/2015
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