Individual
LEILA MAHDAVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 UNDERHILL AVE, BRONX, NY 10472-6012
(718) 299-7295
(718) 299-6797
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
(718) 795-4394
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PO1992
NY
Other
Enumeration date
04/23/2014
Last updated
05/26/2023
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