| Mahtab Motieian Md Pc | |
|
114 Ridge Rd Ardsley NY 10502-2220 | |
| (904) 955-6577 | |
| Not Available |
| Full Name | Mahtab Motieian Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 Ridge Rd, Ardsley, New York |
| Authorized Official Name and Position | Mahtab Motieian (MD) |
| Authorized Official Contact | 9049556577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahtab Motieian Md Pc 114 Ridge Rd Ardsley NY 10502-2220 Ph: () - | Mahtab Motieian Md Pc 114 Ridge Rd Ardsley NY 10502-2220 Ph: (904) 955-6577 |
| NPI Number | 1598542276 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 8426406778 |
|---|---|
| Medicare Enrollment ID | O20231127001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598542276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahtab Motieian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417479692 PECOS PAC ID: 8820338601 Enrollment ID: I20201221001795 |
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