Individual
MR. NIMA TISHBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 290-5651
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(718) 290-5651
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0093718
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
09/25/2022
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