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

Dr. Fazlollah Fraydoon Mogtaderi, MD

Individual provider Surgery Physician · NPI 1831254861

Dr. Fazlollah Fraydoon Mogtaderi, MD is a Surgery Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

520 E 72 Street Sutie 1C
New York, NY 10021-4852
Phone: (212) 876-2322
Fax: (212) 860-2425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1176921 (NY)

Record details

NPI number1831254861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007

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