Individual
FARANAK MOHAMMADPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 MCLEAN AVE., SECOND FLOOR, YONKERS, NY 10705
(909) 632-1626
Mailing address
316 MCLEAN AVE., SECOND FLOOR, YONKERS, NY 10705
(909) 632-1626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A118514
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A118514
CA
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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