Basic Information
| Provider Information | |||||||||
| NPI: | 1487718193 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KHASHAYAR SEHHAT MD, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 39 WATERSIDE CLOSE | ||||||||
| Address2: | |||||||||
| City: | EASTCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107095654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189209074 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 E 233RD ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104662604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189209074 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SEHHAT | ||||||||
| AuthorizedOfficialFirstName: | KHASHAYAR | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7189209074 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 221273 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.