Individual
ASADOLAH BARADARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
726 EAST MAIN ST, STE 201, MIDDLETOWN, NY 10940
(845) 342-1495
(845) 342-1367
Mailing address
726 EAST MAIN ST, STE 201, MIDDLETOWN, NY 10940
(845) 342-1495
(845) 342-1367
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
192401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01417216
—
NY
01
—
13539
WELLCARE
—
01
—
137122
MVP
—
01
—
23002
GHI PPO
—
01
—
3584056003
CIGNA
—
01
—
62270
PRUDENTIAL
—
01
—
69H741
EMPIRE BCBS
—
01
—
ABA726109
FINGERLAKES BCBS
—
01
—
O46O793
AETNA US HEALTHCARE
—
01
—
OR0000414
SELECT PRO
—
01
—
YS041
OXFORD
—
Enumeration date
09/07/2006
Last updated
07/08/2007
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