Tayarani Beegham, Mohammad
Tayarani Beegham, Mohammad is an sole proprietor health care provider with primary practice located at 3340 Walnut Ave Ste 140 , Fremont CA 94538-2215. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Tayarani Beegham, Mohammad can be contacted via phone (510) 745-9151.Contact Information
Primary practice address
3340 Walnut Ave Ste 140
Fremont CA 94538-2215
Phone: (510) 745-9151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 103T00000X | California |
Profile Details
| NPI number | 1760803332 |
|---|---|
| LBN Legal business name | Tayarani Beegham, Mohammad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2013 |
| Last updated | Dec 26th, 2013 - about 13 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 | 1760803332 | NPPES |
| California | MEDICAID | 390200000X |
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