Individual
SHADI SAFAR GHOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E 70TH ST, NEW YORK, NY 10021-9800
(212) 746-4071
(212) 746-4734
Mailing address
1214 5TH AVE APT 21G, NEW YORK, NY 10029-5205
(678) 920-0245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311781
NY
208M00000X
Hospitalist Physician
Primary
311781
NY
Other
Enumeration date
05/29/2018
Last updated
07/10/2025
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