Individual
DAVID KHODADADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
357A CENTRAL AVE, BROOKLYN, NY 11221-4701
(718) 497-1757
(718) 573-7856
Mailing address
357A CENTRAL AVE, BROOKLYN, NY 11221-4701
(917) 853-4691
(718) 573-7856
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
202828
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01929111
—
NY
01
—
1821097080
NPI
—
Enumeration date
07/19/2005
Last updated
03/23/2022
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