DR. SADRA AZIZI-GHANNAD (NPI# 1639435084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639435084 |
| Entity Type | Individual |
| Full Name | DR. SADRA AZIZI-GHANNAD |
| Credential | M.D. |
| Practice Address |
400 Westage Business Ctr Dr Ste 209 Fishkill NY 12524-2295 |
| Mailing Address |
744 John Paul Ct Niskayuna NY 12309-4400 |
| Practice Telephone | 8458960736 |
| Mailing Telephone | 5182099050 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 283619 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
283619 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04443367 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 122083412 | 5182623125 |
| Street Address |
400 WESTAGE BUSINESS CTR DR STE 209 |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989859 | Nicos Nicolaou | Pathology | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524 | 2012-03-13 |
| 1033765169 | Richard Morris | Physician Assistant | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524-2295 | 2019-08-14 |
| 1689130635 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524-2295 | 2019-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392659 | Leandra Carr | Licensed Practical Nurse | 3 Mountain View Knolls Drive, Fishkill, NY 12524 | 2016-08-28 |
| 1558738427 | Teresa Williams | Speech-Language Pathologist | 51 Shirley Ave, Fishkill, NY 12524 | 2015-08-27 |
| 1689088742 | Cardiovascular and Medical Associate of The Hudson Valley PC | Internal Medicine | 841 Route 52 Suite 6, Fishkill, NY 12524 | 2014-06-17 |
| 1366876377 | Bohdan Darnobid | Physician Assistant | 121 Red School House Road, Fishkill, NY 12524 | 2013-08-27 |
| 1396007530 | Rebecca Gowans Roper-eckstein | Psychologist | 24 Old Glenham Road, Fishkill, NY 12524 | 2012-06-13 |
| 1760776256 | Janice Jacqueline Thomas-green | Registered Nurse | 62 Hoose Blvd, Fishkill, NY 12524 | 2011-06-02 |
| 1548494776 | Jacquelyn A Lindsay | Social Worker | 1575 Route 376 At New Hackensack Road, Wappingers Falls, NY 12524 | 2009-05-01 |
| 1154512838 | Joan J Miles | Registered Nurse | 74 Highland Ct, Fishkill, NY 12524 | 2007-08-07 |
| 1902097884 | Optical Fashions Corp | Technician/Technologist | 200 Westage Business Center Drive, Fishkill, NY 12524 | 2007-08-06 |
| 1033252382 | Peter Allen Koch | Dentist | 1065 Main Street, Suite C, Fishkill, NY 12524 | 2007-02-15 |
| Find all providers in zip 12524 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| 1689130635 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 209, Fishkill, NY 12524-2295 | 2019-02-14 |
| 1235137902 | Stuart Charles Weinberger | Internal Medicine | 600 Westage Business Ctr Dr, Fishkill, NY 12524-2281 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1861977142 | Birch Medical Pllc | Internal Medicine | 60 Oceana Dr W Apt 10d, Brooklyn, NY 11235-6664 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.