DR. KASHYAR KHODABAKHSH (NPI# 1073788667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073788667 |
| Entity Type | Individual |
| Full Name | DR. KASHYAR KHODABAKHSH |
| Credential | M.D. |
| Practice Address |
10 Union Sq E New York NY 10003-3314 |
| Mailing Address |
Po Box 95000-2446 Philadelphia PA 19195-2446 |
| Practice Telephone | 9144280529 |
| Practice Fax Number | 7182408607 |
| Mailing Telephone | 9144280529 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301090255 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
258356 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
10 UNION SQ E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564407 | Theresa Tran | Otolaryngology | 10 Union Sq E, Suite 4j, New York, NY 10003-3314 | 2005-08-02 |
| 1497383491 | Grace Orekoya | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-03-27 |
| 1730711599 | Candace Snow Johnson | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-02-10 |
| 1518441518 | Liyi Hayley Jiang | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2018-09-17 |
| 1215421466 | Caitlin Rhoades | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2018-06-20 |
| 1265942320 | Rebecca Katherine Rudel | Dietitian, Registered | 10 Union Sq E, New York, NY 10003-3314 | 2017-10-03 |
| 1992215131 | Vanessa Rodriguez | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2017-10-02 |
| 1407375116 | Emily Marie Warner | Surgery | 10 Union Sq E, New York, NY 10003-3314 | 2017-09-13 |
| 1528583382 | Kimberly A Mulloy | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2017-08-13 |
| 1386168409 | Leslie Kendra Lynn | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2017-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1902344260 | First Columbus Medical PC | Psychiatry & Neurology | 160 W 66th St Apt 22j, New York, NY 10023-6558 | 2017-02-07 |
| 1184073942 | Rachel Joy Schindler | Psychiatry & Neurology | 325 E 79th St Apt 9e, New York, NY 10075-0983 | 2016-06-11 |
| 1487003505 | Jina Park | Psychiatry & Neurology | 462 1st Ave Fl 7, New York, NY 10016-9196 | 2016-06-09 |
| 1043697709 | Benjamin John Dorfman | Psychiatry & Neurology | 5 E 98th St # 1637, New York, NY 10029-6501 | 2015-05-01 |
| 1275928392 | Kathryn Trinh Rimmer | Psychiatry & Neurology | 710 W 168th St Ste 2-212, New York, NY 10032-3726 | 2015-04-06 |
| 1013302819 | Ling Pan | Psychiatry & Neurology | 530 1st Ave Ste 8s, New York, NY 10016-6402 | 2015-03-30 |
| 1710372636 | Alexander Allen | Psychiatry & Neurology | 555 Madison Avenue, Third Floor, New York, NY 10022-6402 | 2015-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.