Provider Demographics
NPI:1053380097
Name:YOUSEFZADEH, NAGHMEH (MD)
Entity type:Individual
Prefix:DR
First Name:NAGHMEH
Middle Name:
Last Name:YOUSEFZADEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14275 MIDWAY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:800-942-3376
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:100 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4943
Practice Address - Country:US
Practice Address - Phone:914-934-5836
Practice Address - Fax:914-934-9819
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD32911207ZP0102X
NY241507207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology