National Provider Identifier

Tahmtan Hormozdyaran, M.D

Tahmtan Hormozdyaran, M.D is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Penfield, NY and a listed phone number of (585) 388-5280.

NPI 1013994623Penfield, NYInternal Medicine Physician

Profile Overview

NPI
1013994623
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
December 23, 2005
Last Updated
February 14, 2013

Practice Location

  • 2226 Penfield RD
  • Penfield, NY 14526-1922

Phone: (585) 388-5280

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1013994623
Entity Type
Individual
Last Name
Hormozdyaran
First Name
Tahmtan
Credential
M.D
Mailing Street Address
2226 Penfield RD
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1922
Mailing Country
US
Mailing Phone
(585) 388-5280
Mailing Fax
(585) 388-5282
Practice Street Address
2226 Penfield RD
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1922
Practice Country
US
Practice Phone
(585) 388-5280
Practice Fax
(585) 388-5282
Enumeration Date
December 23, 2005
Last Updated
February 14, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
213296 (NY, License #)