Individual
DR. RUSTOM ARDESHIR RASTINEHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
271 W CIRCULAR ST, SARATOGA SPRINGS, NY 12866-6012
(518) 587-8421
(518) 587-8423
Mailing address
271 W CIRCULAR ST, SARATOGA SPRINGS, NY 12866-6012
(518) 587-8421
(518) 587-8423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1137281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00376178
—
NY
01
—
00405240001
BLUE SHIELD
NY
01
—
10001684
CDPHP
NY
01
—
24108
MVP
NY
01
—
46319
GHI
NY
01
—
95117
EMPIRE BLUE CROSS
NY
Enumeration date
02/08/2006
Last updated
07/02/2008
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