Active NPIIndividual providerSole proprietor

Shideh Doroudi, MD

Family Medicine in Paterson, New Jersey

NPI Number1427452465
Practice location
1020 Main St Ste C, Paterson, NJ 07503-2244
Fax
862-236-1202
Last updated
October 20, 2014

Shideh Doroudi is a Family Medicine based in Paterson, NJ. Shideh Doroudi practices in Paterson, NJ and has the professional credentials of MD. The NPI Number for Shideh Doroudi is 1427452465 and holds a License No. 25MA09499400 (NJ). The current practice location address for Shideh Doroudi is 1020 Main St Ste C, Paterson, NJ 07503-2244 and can be reached out via phone at 862-336-1200 and via fax at 862-236-1202.

Provider Profile Details

NPI Number
1427452465
Provider Name
Shideh Doroudi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1020 Main St Ste C, Paterson, NJ 07503-2244
Phone Number
862-336-1200
Fax Number
862-236-1202
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2014
Last Update Date
October 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1020 Main St Ste C
Paterson, NJ 07503-2244
Zip
07503-2244
Phone Number
862-336-1200
Fax Number
862-236-1202
Paterson, NJ 07503Get directions →

Provider Business Mailing Address Details

Address
1020 Main St Ste C
Paterson, NJ 07503-2244
City
Paterson
State
NJ
Zip
07503-2244
Phone Number
862-336-1200
Fax Number
862-236-1202

License Information

License Number
25MA09499400
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Paterson, NJ

View all Family Medicine providers in Paterson →

Frequently Asked Questions

What is the NPI number of Shideh Doroudi, MD?

The NPI number of Shideh Doroudi, MD is 1427452465. It was assigned on October 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Shideh Doroudi, MD?

Shideh Doroudi, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA09499400.

Where does Shideh Doroudi, MD practice?

The practice location is 1020 Main St Ste C, Paterson, NJ 07503-2244. The office can be reached at 862-336-1200 (phone) or 862-236-1202 (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 1427452465 directly on the NPPES registry website.

Browse related providers