IndividualActive
Mohammad Namazian, D.O.
NPI 1811040843 · Adult Reconstructive Orthopaedic Surgery Physician · Kew Gardens, NY
Provider details
- NPI number
- 1811040843
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20A9672 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11880 Metropolitan Ave Apt 5f
Kew Gardens, NY 11415-2063
Phone: (718) 847-3635
Fax: (718) 847-3635
Approximate (ZIP-level) locationGet directions
Mailing address
10950 Church St Apt 2212
Rancho Cucamonga, CA 91730-8081
Registry dates
- Enumerated
- 2007-01-21
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.