DR. JONATHAN J KHODADADIAN MD NPI 1275814618

NPI Information

NPI: 1275814618
Provider Name: DR. JONATHAN J KHODADADIAN, MD
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Individual

Specialization: Nuclear Imaging & Therapy

PECOS Registration: Yes

Address:
150 E SUNRISE HWY
208
LINDENHURST, NY
ZIP 11757
Phone: (631) 225-7200
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DR. Jonathan J Khodadadian, MD is a nuclear imaging and therapy nuclear medicine in Lindenhurst, NY. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. DR. Jonathan J Khodadadian, MD NPI is 1275814618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 E SUNRISE HWY
208
LINDENHURST, NY
ZIP 11757-539
Phone: (631) 225-7200
Fax: (631) 930-9451

The NPI 1275814618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2011 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	265565	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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