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Contact Information

JONATHAN J KHODADADIAN, MD
150 E SUNRISE HWY
208
LINDENHURST, NY11757-2539
 Phone: 631-225-7200
 Fax: 631-930-9451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JONATHAN J KHODADADIAN · (Male)

NPI # 1275814618
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2011
Last updated 07/11/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 265565
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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