Individual
AZAD MOJAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-1122
(631) 689-8333
Mailing address
PO BOX 1559, STONY BROOK NY, STONY BROOK, NY 11794-0001
(631) 689-8333
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
301868
NY
Other
Enumeration date
06/29/2016
Last updated
11/07/2019
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