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

Individual provider Behavioral Neurology & Neuropsychiatry Physician · NPI 1790806719

Dr. Azim Etemadi, MD is a Neuropsychiatry in New York, New York. Qualified in 1968, 58 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
58
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

108 E 96th St
New York, NY 10128-6217
Phone: (212) 348-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavioral Neurology & Neuropsychiatry Physician (primary) Taxonomy 2084B0040X · Licence 123804 (NY)

Record details

NPI number1790806719
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROPSYCHIATRY
Also practisesPREVENTIVE MEDICINE
Medical schoolOTHER
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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