MITRA ASSADI-KHANSARI


Address: 200 Hygeia Dr, Ste 1420, Newark, DE 19713-2049
Phone: 3026233017

MITRA ASSADI-KHANSARI (NPI# 1205917952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205917952
Entity Type Individual
Full Name MITRA ASSADI-KHANSARI
Credential MD
Practice Address 200 Hygeia Dr
Ste 1420
Newark
DE 19713-2049
Practice Telephone 3026233017
Practice Fax Number 3022669962
Mailing Telephone 3026233017
Mailing Fax Number 3022669962
Enumeration Date 2006-10-18
Last Update Date 2019-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
C1-0013230 DE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ HEALTHNET 3K5933 01
NJ AMERICHOICE CA0000306 01
NJ 7712201 05
NJ CIGNA 0342325 01
NJ UNITED HEALTH 1883383 01
NJ AETNA 3009843 01
NJ 1169152 HORIZON NJ HEALTH 01
NJ AMERIHEALTH/PPO PABS 18376 01
NJ AMERIHEALTH/KEYSTONE/IBC 0064051000 01
NJ PA BS HIGHMARK 018376 01
NJ UNIVERSITY HEALTH PLAN 20495 01
NJ OXFORD P2182793 01
NJ HORIZON NJ HEALTH 1010223 01

Office Location

Street Address 200 HYGEIA DR
STE 1420
City NEWARK
State DE
Zip Code 19713-2049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053311746 James Anthony Neri Physical Therapist 200 Hygeia Dr, Newark, DE 19713-2049 2005-07-26
1376091322 Mindy S Neff Nurse Practitioner 200 Hygeia Dr, Suite 2300, Newark, DE 19713-2049 2016-09-20
1609226802 Yvonne A Brobst Registered Nurse 200 Hygeia Dr, Room 2470, Newark, DE 19713-2049 2016-06-18
1083088108 Tiffany M. Snow Registered Nurse 200 Hygeia Dr, Suite 2100, Newark, DE 19713-2049 2015-12-01
1659744845 Sarah M Hinkle Nurse Practitioner 200 Hygeia Dr, Suite 2100, Newark, DE 19713-2049 2015-11-10
1467824821 Mary Kathryn Bogush Registered Nurse 200 Hygeia Dr, Suite 2100, Newark, DE 19713-2049 2015-10-26
1083083216 Christiana Care Health Initiatives Family Medicine 200 Hygeia Dr, Suite 2300, Newark, DE 19713-2049 2015-09-17
1083010490 Danielle N. Dallas Nurse Practitioner 200 Hygeia Dr, Suite 2100, Newark, DE 19713-2049 2014-11-12
1356756142 Sandeep Devarapalli Psychiatry & Neurology 200 Hygeia Dr, Newark, DE 19713-2049 2014-07-01
1487088605 Carolinne L Mrozek Registered Nurse 200 Hygeia Dr, Newark, DE 19713-2049 2013-08-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
Find all providers in zip 19713

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164994166 Acclaim Neurodiagnostics Group Psychiatry & Neurology 537 Stanton Christiana Rd Ste 106, Newark, DE 19713-2145 2019-01-02
1639300676 Delaware Neuroscience Specialists Psychiatry & Neurology 774 Christiana Rd Ste 201b, Newark, DE 19713-4221 2009-08-06
1841461019 Deren Huang Psychiatry & Neurology 150 Mcmillon Drive, Newark, OH 43055 2008-03-17
1477754893 Maria R Alvarez Prieto Psychiatry & Neurology 41 Wilson Ave, Suite 2d, Newark, NJ 07105 2007-05-31
1245257013 Eugene A Tolomeo Psychiatry & Neurology 1312 Driving Park Ave, Newark, NY 14513-1059 2006-07-16
1932131265 John Robert Pollard Psychiatry & Neurology 774 Christiana Road, Suite 201, Newark, DE 19713-4221 2006-07-07
1902858475 Joseph Handler Psychiatry & Neurology 774 Christiana Rd Ste 201, Newark, DE 19713-4221 2006-05-16
1912907197 Michael M Moussouttas Psychiatry & Neurology 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2559 2005-07-28
1518317973 Garland Tang Psychiatry & Neurology 150 Mcmillen Dr, Newark, OH 43055-1811 2016-06-16
1356756142 Sandeep Devarapalli Psychiatry & Neurology 200 Hygeia Dr, Newark, DE 19713-2049 2014-07-01
Find all providers in NEWARK

Competitor

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City NEWARK
Zip Code 19713

Improve Information

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Dataset Information

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.

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