- Practice location
- 153 Stevens Ave Ste 5, Mount Vernon, NY 10550-2543
- Phone
- 914-667-1620
- Fax
- 914-667-2421
- Last updated
- June 21, 2012
Shariar Sotudeh MD PC is a healthcare organization based in Mount Vernon, NY. Shariar Sotudeh MD PC practices in Mount Vernon, NY. The NPI Number for Shariar Sotudeh MD PC is 1083685937 and holds a License No. 124255 (NY). The current practice location address for Shariar Sotudeh MD PC is 153 Stevens Ave Ste 5, Mount Vernon, NY 10550-2543 and can be reached out via phone at 914-667-1620 and via fax at 914-667-2421.
Provider Profile Details
- NPI Number
- 1083685937
- Provider Name
- Shariar Sotudeh MD PC
- Provider Entity Type
- Organization
- Address
- 153 Stevens Ave Ste 5, Mount Vernon, NY 10550-2543
- Phone Number
- 914-667-1620
- Fax Number
- 914-667-2421
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Shariar Sotudeh, M D · Dr · 914-667-1620
- Other Names
- Shariar Sotudeh MD PC (Former Legal Business Name)
- Provider Enumeration Date
- January 30, 2006
- Last Update Date
- June 21, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 153 Stevens Ave Ste 5
Mount Vernon, NY 10550-2543 - City
- Mount Vernon
- State
- New York
- Zip
- 10550-2543
- Phone Number
- 914-667-1620
- Fax Number
- 914-667-2421
Provider Business Mailing Address Details
- Address
- Po Box 536
Mount Vernon, NY 10552-0536 - City
- Mount Vernon
- State
- NY
- Zip
- 10552-0536
- Phone Number
- 914-667-1620
- Fax Number
- 914-667-2421
License Information
- License Number
- 124255
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Mount Vernon, NY
View all Specialists in Mount Vernon →Frequently Asked Questions
What is the NPI number of Shariar Sotudeh MD PC?
The NPI number of Shariar Sotudeh MD PC is 1083685937. It was assigned on January 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Shariar Sotudeh MD PC?
Shariar Sotudeh MD PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 124255.
Where does Shariar Sotudeh MD PC practice?
The practice location is 153 Stevens Ave Ste 5, Mount Vernon, NY 10550-2543. The office can be reached at 914-667-1620 (phone) or 914-667-2421 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083685937 directly on the NPPES registry website.