Mahmoodzadegan, Mehdi
Mahmoodzadegan, Mehdi is an sole proprietor health care provider with primary practice located at 24001 Park Granada , Calabasas CA 91302-2528. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mahmoodzadegan, Mehdi can be contacted via phone (818) 223-9223.Contact Information
Primary practice address
24001 Park Granada
Calabasas CA 91302-2528
Phone: (818) 223-9223
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C38367 | California |
Profile Details
| NPI number | 1689853699 |
|---|---|
| LBN Legal business name | Mahmoodzadegan, Mehdi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Dec 4th, 2012 - about 14 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 | 1689853699 | NPPES |
| Michigan | Other | 3005022061 | BCBS |
| Michigan | Other | 3005041671 | BCBS |
| Michigan | Other | 4301032665 | BCBS |
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