Moghaddam, Hamidreza

Moghaddam, Hamidreza is an individual health care provider with primary practice located at 527 Ne 124Th St , North Miami FL 33161-5423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moghaddam, Hamidreza can be contacted via phone (305) 895-9233.

Contact Information

Primary practice address
527 Ne 124Th St North Miami FL 33161-5423
Phone: (305) 895-9233
Fax: (305) 895-9274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 91771 Florida

Profile Details

NPI number 1477519122
LBN Legal business name Moghaddam, Hamidreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jan 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477519122 NPPES
Florida MEDICAID 273130400

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