LEILA MAHDAVIAN (NPI# 1689094153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689094153 |
| Entity Type | Individual |
| Full Name | LEILA MAHDAVIAN |
| Credential | M.D. |
| Practice Address |
1010 Underhill Ave Bronx NY 10472-6012 |
| Mailing Address |
3198 Grand Concourse Bronx NY 10458-1000 |
| Practice Telephone | 7182997295 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 7187954394 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | PO1992 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1010 UNDERHILL AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10472-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376650226 | Bronx Center for Rehabilitation and Health Care | Skilled Nursing Facility | 1010 Underhill Ave, Bronx, NY 10472-6012 | 2006-08-24 |
| 1588999742 | Bronx Center for Renal Dialysis LLC | Clinic/Center | 1010 Underhill Ave, Bronx, NY 10472-6012 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1497288641 | Claudia Dongmo | Licensed Practical Nurse | 1129 St Lawrence Ave Apt 1a, Bronx, NY 10472 | 2017-04-05 |
| 1952763310 | Amanda Mohammed | Case Manager/Care Coordinator | 1259 Boynton Ave, Bronx, NY 10472 | 2016-03-24 |
| 1669861928 | Ercilia Lopez | Counselor | 1134 Colgate Ave, Apt 4c, Bronx, NY 10472 | 2015-01-09 |
| 1548681448 | Melissa A Diaz | Occupational Therapist | 1575 East 174th Street Apt 13c, Bronx, NY 10472 | 2013-12-18 |
| 1346670973 | Advanced Diagnostic Services Inc | Physiological Laboratory | 1268 White Plains Road., R # 6 (ground Level Shaikh), Bronx, NY 10472 | 2013-11-18 |
| 1366708497 | Rashida U Adil | Registered Nurse | 1025 Morrison Avenue, Jhs 123, Bronx, NY 10472 | 2012-04-03 |
| 1467699637 | Pharmacy Plus Surgical Supplies Inc | Pharmacy | 1770 D Westchester Ave, Bronx, NY 10472 | 2009-01-09 |
| 1144408006 | Gladys Ramona Torres-ortiz | Psychologist | 1764 Weshchester Ave, Bronx, NY 10472 | 2008-02-03 |
| 1346367505 | Nasser M Tejaratchi | Internal Medicine | 1101 White Plains Road, Ph, Bronx, NY 10472 | 2007-03-23 |
| Find all providers in zip 10472 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497466 | Cautious Care Medical, P.C. | General Practice | 3250 Westchester Ave Rm 101, Bronx, NY 10461-4548 | 2017-10-09 |
| 1962884700 | Yaser Baghdadi | General Practice | 3636 Waldo Ave Apt 5e, Bronx, NY 10463-2248 | 2015-06-28 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| 1336583483 | Opeoluwa O Eleyinafe | General Practice | 1975 Walton Ave, Bronx, NY 10453-4700 | 2013-04-19 |
| 1972849560 | Dare I Adeyele | General Practice | 2015 Grand Concourse, Essen Medical, Bronx, NY 10453-8648 | 2012-12-31 |
| 1689908055 | Ss Medical Care, PC | General Practice | 961 E 174th St, Suite 18, Bronx, NY 10460-5060 | 2009-10-01 |
| 1396888624 | Anwar N Aziz | General Practice | 3887 Pratt Avenue, Bronx, NY 10466-5930 | 2007-02-15 |
| 1326112020 | Seung Gi Kim | General Practice | 785 Westchester Ave, Bronx, NY 10455-1722 | 2006-11-17 |
| 1346339918 | Kuan P Chiu | General Practice | 534 E 138th St, Bronx, NY 10454 | 2006-10-12 |
| 1427152149 | Maria Anna Lieber | General Practice | James J Peters Va Medical Center, Bronx, NY 10468-3942 | 2006-09-12 |
| Find all providers in BRONX | ||||
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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.