Azad, Manouchehr

Azad, Manouchehr is an individual health care provider with primary practice located at 1700 Coffee Rd Department Of Radiation Oncology, Modesto CA 95355-2803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Azad, Manouchehr can be contacted via phone (209) 572-7237.

Contact Information

Primary practice address
1700 Coffee Rd Department Of Radiation Oncology Modesto CA 95355-2803
Phone: (209) 572-7237
Fax: (209) 526-5280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X C41250 California

Profile Details

NPI number 1376508044
LBN Legal business name Azad, Manouchehr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376508044 NPPES
California MEDICAID 00C412500
California MEDICAID GR0078260

Popular Providers