Individual
DR. FOROUGH HAKIMZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5246
Mailing address
1 GUSTAVE L LEVY PL # 3000, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276822
NY
208M00000X
Hospitalist Physician
Primary
276822
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276822
LICENSE
NY
Enumeration date
06/26/2011
Last updated
03/01/2019
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