Individual
SHAWN KHODADADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
983 PARK AVE, STE 1D, NEW YORK, NY 10028-0808
(212) 427-8761
(212) 427-8762
Mailing address
983 PARK AVE, NEW YORK, NY 10028-0808
(212) 427-8761
(212) 427-8762
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
244392
NY
Other
Enumeration date
06/13/2007
Last updated
11/29/2016
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