National Provider Identifier
Nima Hazrati Pour Fard, MD
Nima Hazrati Pour Fard, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Montour Falls, NY and a listed phone number of (607) 535-7121.
Profile Overview
- NPI
- 1225657349
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 09, 2020
- Last Updated
- March 12, 2024
Practice Location
- 220 Steuben St
- Montour Falls, NY 14865-9740
Phone: (607) 535-7121
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1225657349
- Entity Type
- Individual
- Last Name
- Hazrati Pour Fard
- First Name
- Nima
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 220 Steuben St
- Mailing City
- Montour Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14865-9740
- Mailing Country
- US
- Mailing Phone
- (607) 535-7121
- Practice Street Address
- 220 Steuben St
- Practice City
- Montour Falls
- Practice State
- NY
- Practice ZIP Code
- 14865-9740
- Practice Country
- US
- Practice Phone
- (607) 535-7121
- Enumeration Date
- April 09, 2020
- Last Updated
- March 12, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)