Abdolmohammadi, Alireza
Abdolmohammadi, Alireza is an individual health care provider with primary practice located at 209 Martin Luther King Jr Way , Tacoma WA 98405-4265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Abdolmohammadi, Alireza can be contacted via phone (253) 596-3300.Contact Information
Primary practice address
209 Martin Luther King Jr Way
Tacoma WA 98405-4265
Phone: (253) 596-3300
Fax: (253) 596-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.093864 | Ohio |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A114907 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD61527860 | Washington |
Profile Details
| NPI number | 1871816207 |
|---|---|
| LBN Legal business name | Abdolmohammadi, Alireza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2010 |
| Last updated | Dec 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871816207 | NPPES |
| California | MEDICAID | 1871816207 | |
| California | Other | 0A1149070 | |
| California | MEDICAID | 3069183 | |
| California | Other | P01192795 |
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