KAMRAN SANANDAJI (NPI# 1033191598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033191598 |
Entity Type | Individual |
Full Name | KAMRAN SANANDAJI |
Credential | D.D.S |
Practice Address |
1745 Union Blvd Bay Shore NY 11706-7937 |
Practice Telephone | 6319685995 |
Practice Fax Number | 6319685996 |
Mailing Telephone | 6319685995 |
Mailing Fax Number | 6319685996 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2012-12-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
046079 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01660517 | 05 |
Street Address |
1745 UNION BLVD |
City | BAY SHORE |
State | NY |
Zip Code | 11706-7937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811978109 | Kourosh Yaghoubian | Dentist | 1745 Union Blvd, Bay Shore, NY 11706-7937 | 2005-11-14 |
1790299584 | Joanira Peixoto | Family Medicine | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2017-12-01 |
1538556279 | Julia Pierre-louis | Physician Assistant | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2015-04-21 |
1487807061 | Family Medical Care of Bayshore, PC | Family Medicine | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2008-10-28 |
1114190303 | Sirisha Donthireddy | Dentist | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2008-04-08 |
1114100062 | Y&s Dental Practice PC. | Dentist | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2007-12-14 |
1659578763 | 3-dimensional Physical Therapy, PC | Physical Therapist | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2007-07-02 |
1578632899 | Carla Canavire Weber | Family Medicine | 1745 Union Blvd, Bay Shore, NY 11706-7952 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
Find all providers in zip 11706 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427404755 | Tommy Ye | Dentist | 1701 Sunrise Hwy # C7, Bay Shore, NY 11706-6091 | 2016-05-05 |
1003081811 | Harold Guerrero Sr. | Dentist | 1355 E 3rd Ave, Bay Shore, NY 11706 | 2008-04-23 |
1053521914 | Stephen Michael Goldstein | Dentist | 15 Rex Ct, Bay Shore, NY 11706-4756 | 2007-05-22 |
1629283882 | Vasudevan Raghunath | Dentist | Suffolk Dental Centersouth Shore Mall, 1701 Sunrise Highway, Bay Shore, NY 11706 | 2007-05-11 |
1346453305 | David Z. Diamond | Dentist | 87 Community Rd, Bay Shore, NY 11706-7832 | 2007-05-07 |
1598899924 | Michael Kevin O'grady | Dentist | 2101 Union Blvd, Bay Shore, NY 11706-8017 | 2007-03-15 |
1609945039 | Charles B Eisenson | Dentist | 1814 5th Ave, Bay Shore, NY 11706-1732 | 2006-11-07 |
1760406334 | William Charles O'shaughnessy | Dentist | 41 3rd Ave, Bay Shore, NY 11706-7913 | 2006-07-27 |
1306868823 | John T Mcloughlin | Dentist | 245 Bay Shore Rd, Bay Shore, NY 11706-5325 | 2006-07-24 |
1336188499 | John E. Seylar | Dentist | 11 Bay Shore Rd, Bay Shore, NY 11706-3600 | 2006-06-05 |
Find all providers in BAY SHORE |
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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.