Individual
IGAL KHORSHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7911 41ST AVE, A108, ELMHURST, NY 11373-1258
(718) 734-0404
(646) 661-2795
Mailing address
7911 41ST AVE, A108, ELMHURST, NY 11373-1258
(718) 734-0404
(646) 661-2795
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
256986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03540943
—
NY
Enumeration date
07/11/2009
Last updated
07/22/2016
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