Individual
DR. FOAD GHAVAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305
(718) 667-0077
(718) 667-4103
Mailing address
501 SEAVIEW AVE, SUITE 100, STATEN ISLAND, NY 10305
(718) 667-0077
(718) 667-4103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2161241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02299892
—
NY
01
—
479Q71
MEDICARE ID NUMBER
NY
Enumeration date
12/13/2005
Last updated
06/19/2012
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