Individual
DR. DURDANA MEHTABDIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2022 WESTERN AVE, GUILDERLAND FAMILY PRACTICE, ALBANY, NY 12203
(518) 464-9000
(518) 464-9200
Mailing address
2022 WESTERN AVE, GUILDERLAND FAMILY PRACTICE, ALBANY, NY 12203
(518) 464-9000
(518) 464-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
168137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401327017
BLUE SHIELD OF NORTHEASTE
NY
05
—
01061729
—
NY
01
—
040426006292
FIDELIS
—
01
—
085447
MVP
—
01
—
10005965
CDPHP
—
01
—
1681378W
WORKERS COMP
—
01
—
267622
WELLCARE
—
01
—
5209A1
EMPIRE BLUE CROSS BLUE SH
—
01
—
5903957
GHI PPO
—
01
—
72562
GHI HMO
—
Enumeration date
03/16/2006
Last updated
07/08/2007
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