National Provider Identifier

Eli Moradi, DDS

Eli Moradi, DDS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Amherst, NY and a listed phone number of (646) 498-2407.

NPI 1114484235Amherst, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1114484235
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
February 25, 2019
Last Updated
February 25, 2019

Practice Location

  • 1349 Millersport Hwy Apt 4
  • Amherst, NY 14221-2913

Phone: (646) 498-2407

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1114484235
Entity Type
Individual
Last Name
Moradi
First Name
Eli
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1349 Millersport Hwy Apt 4
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14221-2913
Mailing Country
US
Mailing Phone
(646) 498-2407
Practice Street Address
1349 Millersport Hwy Apt 4
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14221-2913
Practice Country
US
Practice Phone
(646) 498-2407
Enumeration Date
February 25, 2019
Last Updated
February 25, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)