National Provider Identifier
Mehrdad Khodadoostan, MD
Mehrdad Khodadoostan, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 706-2112.
Profile Overview
- NPI
- 1780379594
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 07, 2023
- Last Updated
- April 07, 2023
Practice Location
- Sisters Of Charity Hospital, 2157 Main St
- Buffalo, NY 14214-2692
Phone: (716) 706-2112
Mailing Address
- 19528 Ventura Blvd Apt 711
- Tarzana, CA 91356-2917
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1780379594
- Entity Type
- Individual
- Last Name
- Khodadoostan
- First Name
- Mehrdad
- Credential
- MD
- Mailing Street Address
- 19528 Ventura Blvd Apt 711
- Mailing City
- Tarzana
- Mailing State
- CA
- Mailing ZIP Code
- 91356-2917
- Mailing Country
- US
- Mailing Phone
- (310) 245-8221
- Practice Street Address
- Sisters Of Charity Hospital, 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2692
- Practice Country
- US
- Practice Phone
- (716) 706-2112
- Enumeration Date
- April 07, 2023
- Last Updated
- April 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 03, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)