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Dr. Reubin Pooya Davoudzadeh, MD
Diagnostic Radiology Physician in Port Jefferson, New York
NPI 1306145057

Reubin Pooya Davoudzadeh is a Diagnostic Radiology Physician based in Coram, NY and is specialized in Diagnostic Radiology. Reubin Pooya Davoudzadeh practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Reubin Pooya Davoudzadeh is 1306145057 and holds a License No. (New York).

The current practice location address for Reubin Pooya Davoudzadeh is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6166.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11727-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306145057
Provider Name
Reubin Pooya Davoudzadeh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Belle Terre Rd, Port Jefferson, NY, 11727-2343
Phone Number
631-474-6166
Fax Number
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6166
Fax Number
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6166
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
267056-1 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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