Miss Hadassah Kheradnam
Physician Assistant

Address: 1192 E 12th St, Brooklyn, NY 11230-4812
Phone: 3477293192

Miss Hadassah Kheradnam (NPI# 1083251953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083251953
Entity Type Individual
Full Name Miss Hadassah Kheradnam
Credential PA-C
Gender Female
Practice Address 1192 E 12th St
NY 11230-4812
Practice Telephone 3477293192
Mailing Address 1192 E 12th St
NY 11230-4812
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-12-10
Last Update Date 2019-12-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 024420-01 NY

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497392880 Catrisha Duret Physician Assistant 1850 Ocean Pkwy Apt D8, Brooklyn, NY 11223-3020 2019-12-04
1386281996 Irit Hadi Physician Assistant 955 E 26th St, Brooklyn, NY 11210-3725 2019-12-02
1245876143 Richard Casseus Physician Assistant 6525 Avenue N, Brooklyn, NY 11234-5622 2019-11-26
1053957415 Michelle Sophy Huck Physician Assistant 4114 Bedford Ave, Brooklyn, NY 11229-2452 2019-11-20
1316583974 Ediserlin Lora Physician Assistant 2814 W 8th St Apt 15c, Brooklyn, NY 11224-3368 2019-11-19
1063057347 Viorika Chebotaru Physician Assistant 2644 Haring St Fl 2, Brooklyn, NY 11235-1606 2019-11-11
1013551787 Fahmida Begum Physician Assistant 191 Green St Apt 2l, Brooklyn, NY 11222-1408 2019-11-05
1679117824 Nasreen Akhtar Ahmad Physician Assistant 2013 E 53rd St Apt 1, Brooklyn, NY 11234-4732 2019-10-31
1295379550 Mina Azer Physician Assistant 76 Battery Ave Ste 1, Brooklyn, NY 11228-3555 2019-10-30
1558904524 Kurt Loney-walsh Physician Assistant 959 E 103rd St, Brooklyn, NY 11236-2813 2019-10-23
Find all providers in BROOKLYN

Office Location

Street Address 1192 E 12TH ST
State NY
Zip Code 11230-4812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861054793 Morris Kiss Case Manager/Care Coordinator 1851 Coney Island Ave., Brooklyn, NY 11230 2019-07-01
1679047062 Katherine Michelle Moreno Social Worker 1309 -1311 Foster Ave, Brooklyn, NY 11230 2019-01-18
1295229987 Alexander Kuravsky Specialist 890 E. 14th St Apt A2, Brooklyn, NY 11230 2018-06-18
1740787308 Madelaine Paula Wolfond Social Worker 1309-1311 Foster Ave., Brooklyn, NY 11230 2018-04-10
1245746288 Nora Salaheldin Ahmed I Physical Therapist 1440 Ocean Parkway,4k, Brooklyn, NY 11230 2017-12-27
1124539192 Victoria Zavalunova Case Manager/Care Coordinator 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 2017-10-18
1841717576 John Philip Gaac Physical Therapist 954 E 15th St Apt 3c, Brooklyn, NY 11230 2017-08-23
1134641707 Brenda E Leibowitz Speech-Language Pathologist 864 East 13th Street, Brooklyn, NY 11230 2017-07-14
1114448834 Kirsten Elizabeth Ekelund Occupational Therapy Assistant 3769 Nostrand Avenue, Brooklyn, NY 11230 2017-07-03
1093235319 Daline Derival Registered Nurse 677 E 19th Street, Brooklyn, NY 11230 2017-06-27
Find all providers in zip 11230


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Zip Code 11230

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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