Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nyc Internal Medicine Doctor, PC

Organization Internal Medicine Physician · NPI 1265838254

Nyc Internal Medicine Doctor, PC provides Internal Medicine Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

170 E 78th St
New York, NY 10075-0408 Not confirmed with CMS for 11 years — call before visiting
Phone: (516) 313-8642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 244392 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 244392 (NY)

Record details

NPI number1265838254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Khodadadian — Owner · (516) 313-8642
NPI enumeratedNovember 18, 2014
Last updated in NPPESNovember 18, 2014
Mailing address170 E 83rd St, Apt 2k, New York, NY 10028-1920

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