Amirahmadi, Modjtaba

Amirahmadi, Modjtaba is an individual health care provider with primary practice located at 1855 W Taylor St , Chicago IL 60612-7242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Amirahmadi, Modjtaba can be contacted via phone (312) 413-3593.

Contact Information

Primary practice address
1855 W Taylor St Chicago IL 60612-7242
Phone: (312) 413-3593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.117612 Illinois

Profile Details

NPI number 1497976831
LBN Legal business name Amirahmadi, Modjtaba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Dec 8th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497976831 NPPES
California Other CI3011 RAILROAD MEDICARE

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