National Provider Identifier
Reihaneh Derafsh, M.D
Reihaneh Derafsh, M.D is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Geneva, NY and a listed phone number of (315) 787-5400.
Profile Overview
- NPI
- 1881046365
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 07, 2016
- Last Updated
- September 21, 2020
Practice Location
- 200 North St Ste 102
- Geneva, NY 14456-1561
Phone: (315) 787-5400
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1881046365
- Entity Type
- Individual
- Last Name
- Derafsh
- First Name
- Reihaneh
- Credential
- M.D
- Mailing Street Address
- 200 North St Ste 102
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1561
- Mailing Country
- US
- Mailing Phone
- (315) 787-5400
- Practice Street Address
- 200 North St Ste 102
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5400
- Enumeration Date
- July 07, 2016
- Last Updated
- September 21, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)