Vadjista Broumand, MD
Internal Medicine Physician · Fayetteville, NY
Practice location
4110 Medical Center DrSuite 110
Fayetteville, NY 13066
- Phone
- (315) 663-0100
- Fax
- (315) 663-0052
NPI record
- NPI
- 1376537308
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2005
- Last updated
- December 10, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Physician Primary | 207R00000X |
235818 | NY |
About Dr. Broumand
Vadjista Broumand, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 4110 Medical Center Dr, Suite 110, Fayetteville, NY 13066. The NPI number 1376537308 was assigned on September 6, 2005 and the record was last updated on December 10, 2014.
Dr. Broumand lists a license in the registry: #235818 (NY) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Vadjista Broumand, MD?
The NPI number is 1376537308.
What is the phone number of Dr. Broumand?
The phone number listed for the practice location is (315) 663-0100.
Where is Dr. Broumand located?
4110 Medical Center Dr, Suite 110, Fayetteville, NY 13066.
What is the taxonomy code for Dr. Broumand?
The primary taxonomy code is 207R00000X – Internal Medicine Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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