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

Individual provider Ophthalmology Physician · NPI 1962965863

Koosha Ramezani, MD is an Ophthalmology in Bronx, New York. Qualified in 2013, 13 years ago. Works from 6 locations. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2019
Specialties on file
2
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-9168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2234 Cunningham Dr, Hampton, VA 23666-2555 — (757) 622-2200
  • 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 — (757) 622-2200
  • 2463 Pruden Blvd, Suffolk, VA 23434-4235 — (757) 622-2200
  • 2020 General Booth Blvd, Virginia Beach, VA 23454-5875 — (757) 622-2200
  • 465 N Great Neck Rd, Virginia Beach, VA 23454-4064 — (757) 622-2200

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Ophthalmology Physician Taxonomy 207W00000X · Licence 0101288650 (VA)

Record details

NPI number1962965863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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