National Provider Identifier
Mohammadreza Azadfard, MD
Mohammadreza Azadfard, MD is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician in Batavia, NY and a listed phone number of (585) 344-7276.
Profile Overview
- NPI
- 1689841488
- Provider Type
- Individual
- Primary Specialty
- Addiction Medicine (Family Medicine) Physician
- Enumeration Date
- May 12, 2008
- Last Updated
- June 29, 2023
Practice Location
- 16 Bank St Fl 2
- Batavia, NY 14020-2250
Phone: (585) 344-7276
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Addiction Medicine (Family Medicine) Physician (207QA0401X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1689841488
- Entity Type
- Individual
- Last Name
- Azadfard
- First Name
- Mohammadreza
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (855) 922-1203
- Practice Street Address
- 16 Bank St Fl 2
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2250
- Practice Country
- US
- Practice Phone
- (585) 344-7276
- Enumeration Date
- May 12, 2008
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction Medicine (Family Medicine) Physician (207QA0401X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 03292197 (NY)