Individual
DR. AZIN KHANMOHAMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(212) 987-1799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
196633
NY
207V00000X
Obstetrics & Gynecology Physician
M067371
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01775002
—
NY
05
—
2788705
—
NJ
Enumeration date
10/11/2006
Last updated
12/04/2019
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