Individual
FARSHAD BAGHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13420 JAMAICA AVE, JAMAICA, NY 11418-2619
(718) 206-6742
(718) 206-6905
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002101
NY
207R00000X
Internal Medicine Physician
251743
NY
207RI0200X
Infectious Disease Physician
Primary
002101
NY
207RI0200X
Infectious Disease Physician
Primary
251743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02652106
—
NY
Enumeration date
03/22/2006
Last updated
03/25/2026
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