Individual
PEDRAM RAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
633 3RD AVE, MSKCC-PBD/ 3RD FL, NEW YORK, NY 10017-6706
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
270779
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113372
SID# 113372
CA
01
—
270779
SID# 270779
NY
Enumeration date
02/02/2012
Last updated
07/05/2016
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