Individual
DR. RAMIN HODJATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(212) 342-9295
(646) 626-6432
Mailing address
515 AUDUBON AVE, NEW YORK, NY 10040-3403
(917) 981-7297
(646) 626-6432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233196
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
233196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645247
—
NY
Enumeration date
12/29/2005
Last updated
07/16/2011
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