Shariar Sotudeh MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

124255 Issued in NY

Legal business name

SHARIAR SOTUDEH MD PC

Practice address

153 Stevens Ave Ste 5
Mount Vernon, NY 10550-2543

Phone

(914) 667-1620

Fax

(914) 667-2421

NPI assigned

Jan 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shariar Sotudeh, M D

Title

Dr

Phone

(914) 667-1620

Specialties & licenses 1

Addresses

Other names 1

• Shariar Sotudeh MD PC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadereh Rafat, M.D.,

  • Specialist
  • Mount Vernon, NY
  • NPI 1922068071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1083685937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105520536",
            "telephone_number": "914-667-1620",
            "fax_number": "914-667-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE STE 5",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-667-1620",
            "fax_number": "914-667-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIAR SOTUDEH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "SOTUDEH",
        "authorized_official_first_name": "SHARIAR",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "914-667-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "124255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shariar Sotudeh MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hipen N. Shah
• Pratik Shah
• Asim Shahid, M.D.
• Nadeem Shahid
• Shame Free Therapy, Inc.
• Sharma and Sharma Medical PLLC
• Maruti Sharma, M.D.
• Satyavathi Sharma, MD
• Shelly Ann Shaw, RN
• Nechama Shear, LCSW

• Specialist in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.