MANUCHEHR SASANNEJAD MD NPI 1336319870

NPI Information

  • NPI: 1336319870
  • Provider Name: MANUCHEHR SASANNEJAD MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 510 E MAIN ST
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (845) 343-1856

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NPI Details

MANUCHEHR SASANNEJAD MD is a cardiovascular disease internal medicine in Middletown, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MANUCHEHR SASANNEJAD MD NPI is 1336319870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 E MAIN ST
MIDDLETOWN, NY
ZIP 10940-632
Phone: (845) 343-1856
Fax: (845) 343-0611

The provider's authorized official is Manuchehr Sasannejad .
The authorized official title is Owner and has the following contact phone number (845) 343-1856.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 12/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease121795NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100386085MEDICAIDNEW YORK
245D413MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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