Organization Active NPI

Ghodrat Daneshdoost ,M.D.,PC

  • Specialist
  • Bethlehem, PA
National Provider Identifier
1407061229
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD037237L Issued in PA
Legal business name
GHODRAT DANESHDOOST ,M.D.,PC
Practice address
1250 Greenwood Dr
Bethlehem, PA 18017-3677
Phone
(610) 868-9619
Fax
(610) 867-0145
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Ghodrat Daneshdoost, M.D.
Title
President
Phone
(610) 868-9619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD037237L PA Primary

Addresses

Primary practice location

1250 Greenwood Dr
Bethlehem, PA 18017-3677

Mailing address

4440 Apple Tree LN
Bethlehem, PA 18015-9062
Phone (610) 704-2416

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1407061229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 APPLE TREE LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180159062",
            "telephone_number": "610-704-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GREENWOOD DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173677",
            "telephone_number": "610-868-9619",
            "fax_number": "610-867-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHODRAT DANESHDOOST ,M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "DANESHDOOST",
        "authorized_official_first_name": "GHODRAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-868-9619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037237L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.