Individual
KAYVAN MIRHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 PORTLAND AVE # 287, ROCHESTER, NY 14621-3001
(585) 922-5067
Mailing address
100 KINGS HIGHWAY SOUTH, ROCHESTER, NY 14617-5504
(585) 922-5067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290051
NY
208M00000X
Hospitalist Physician
Primary
290051
NY
Other
Enumeration date
02/24/2014
Last updated
12/14/2022
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