Organization
RUSTOM A RASTINEHAD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTOM ARDESHIR RASTINEHAD M.D. (PRESIDENT)
(518) 587-8421
Entity
Organization
Contact information
Practice address
271 W CIRCULAR ST, SARATOGA SPRINGS, NY 12866-6012
(518) 587-8421
(518) 587-8423
Mailing address
271 W CIRCULAR ST, SARATOGA SPRINGS, NY 12866-6012
(518) 587-8421
(518) 587-8423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1137281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405240001
BLUE SHIELD
NY
05
—
00376178
—
NY
01
—
24108
MVP
NY
01
—
46319
GHI
NY
01
—
95117
EMP. BLUE CROSS
NY
Enumeration date
03/24/2008
Last updated
07/02/2008
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