Organization · Type 2 NPI

Kashyar Khodabakhsh M.d.p.c.

Neurology with Special Qualifications in Child Neurology Physician · Great Neck, NY

NPI number 1164940490 Active

Practice location

260 Middle Neck Rd Apt 1E
Great Neck, NY 11021-1159

Mailing address

350 Northern Blvd Ste 300
Great Neck, NY 11021-4809

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XNYS258356 (NY)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

About NPI 1164940490

Kashyar Khodabakhsh M.d.p.c.'s National Provider Identifier is 1164940490, issued on Sep 7, 2017. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Great Neck, NY. The record was last updated on Feb 23, 2018.