Provider Demographics
NPI:1275382962
Name:MAZLOOM, HAMID (MD)
Entity type:Individual
Prefix:MR
First Name:HAMID
Middle Name:
Last Name:MAZLOOM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:METROPOLITAN HOSPITAL CENTER DEPARTMENT OF EMERGENCY ME
Mailing Address - Street 2:1901 FIRST AVENUE 15TH FLOOR ROMM 15B-1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6271
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN HOSPITAL CENTER DEPARTMENT OF EMERGENCY ME
Practice Address - Street 2:1901 FIRST AVENUE 15TH FLOOR ROMM 15B-1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2025-01-13
Deactivation Date:2025-01-10
Deactivation Code:
Reactivation Date:2025-01-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program