Manuchehr Sasannejad


Address: 510 E Main St, Middletown, NY 10940-2632
Phone: 8453431856

Manuchehr Sasannejad (NPI# 1649358094, PAC ID# 9931386745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1649358094
PAC ID by PECOS 9931386745
Professional Enrollment ID I20110603000303
Full Name Manuchehr Sasannejad
Address 510 E Main St
Middletown
NY 10940-2632
Phone Number 8453431856
Gender M
Graduation Year 1968
Primary Specialty INTERNAL MEDICINE
Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY)
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330126 ORANGE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
510 E Main St, Middletown, NY 10940-2632 8453431856

Organization Information

Office Location

Street Address 510 E MAIN ST
City MIDDLETOWN
State NY
Zip 10940-2632

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Competitor

Search similar physicians

City MIDDLETOWN
Zip Code 10940
Specialty INTERNAL MEDICINE
City + Specialty MIDDLETOWN + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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