Individual
KAMRAN KHANMORADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, SUITE 2W, SYRACUSE, NY 13210
(315) 464-9535
(315) 464-6288
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
249966
NY
208600000X
Surgery Physician
MD430385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03436880
—
NY
Enumeration date
05/10/2007
Last updated
10/24/2019
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