Imran Wahedna M.D P.C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IMRAN WAHEDNA M.D P.C

Practice address

4 Harton CT
East Northport, NY 11731-5923

Phone

(631) 623-6076

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Imran Wahedna, MD

Title

Owner

Phone

(631) 623-6076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1104051713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTON CT",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTON CT",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315923",
            "telephone_number": "631-623-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN WAHEDNA M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "WAHEDNA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-623-6076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.