Mohammadzadeh, Gholam Reza

Mohammadzadeh, Gholam Reza is an individual health care provider with primary practice located at 77 Rolling Oaks Dr Ste 202 , Thousand Oaks CA 91361-1018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mohammadzadeh, Gholam Reza can be contacted via phone (805) 379-6717.

Contact Information

Primary practice address
77 Rolling Oaks Dr Ste 202 Thousand Oaks CA 91361-1018
Phone: (805) 379-6717
Fax: (805) 379-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G74293 California

Profile Details

NPI number 1699743625
LBN Legal business name Mohammadzadeh, Gholam Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 25th, 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 1699743625 NPPES
California MEDICAID 00G742930

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