Organization
PASHA KIDNEY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM RAZA PASHA MD (PRESIDENT)
(845) 428-9895
Entity
Organization
Contact information
Practice address
296 BAILEYS GAP RD, HIGHLAND, NY 12528-2300
(845) 428-9895
Mailing address
296 BAILEYS GAP RD, HIGHLAND, NY 12528-2300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/18/2023
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