Durdana Mehtabdin

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DURDANA MEHTABDIN

Practice address

2022 Western Ave
Albany, NY 12203-5093

Phone

(518) 464-9000

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Durdana Mehtabdin, MDNPI 1619946258

Title

Owner

Phone

(518) 464-9000

Specialties & licenses 1

Addresses

Other names 1

• Guilderland Family Practice Other name

Locations

Practitioners 1

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

• Durdana Mehtabdin, MD

  • Family Medicine Physician
  • Albany, NY
  • NPI 1619946258
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1639392871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035093",
            "telephone_number": "518-464-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035093",
            "telephone_number": "518-464-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURDANA MEHTABDIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "MEHTABDIN",
        "authorized_official_first_name": "DURDANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-464-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guilderland Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracy O. Dunn, SPECIALIST
• Christa Dunne, M. D.
• Jessica Dunne
• Katie Ellen Dunne, PA-C
• Jonathan Raymond Duperre, PA-C
• Diane E Durivage, LMSW
• Mary Kathleen Durkin
• Jennifer Durphy, M.D.
• Abu Baker Durrani
• Lacie Durrant

• Family Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.