Mahmood Moayed Makooi in Vallejo - Sports Physician
Mahmood Moayed Makooi - NPI 1689789000
Mahmood Moayed Makooi is a Sports Physician in Vallejo, California. Mahmood Moayed Makooi practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Mahmood Moayed Makooi is 1689789000. The last update date is 2007-07-08.
Mahmood Moayed Makooi's current location address is 2121 Redwood St, Vallejo, California. You can contact this provider via phone number 7076448480 and fax number 7076443926. The mailing address for Mahmood Moayed Makooi is 2121 Redwood St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahmood Moayed Makooi |
|---|---|
| Address | 2121 Redwood St, Vallejo, California |
| Phone Number | 7076448480 |
| Fax Number | 7076443926 |
| Sole Proprietor | N |
| Credentials | DC, CCSP |
NPI Number Detail
| NPI Number | 1689789000 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121 Redwood St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945903603 |
| Phone Number | 7076448480 |
| Fax Number | 7076443926 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3115 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique provider identifier assigned to Mahmood Moayed Makooi?
The Mahmood Moayed Makooi has been issued the NPI (National Provider Identifier) 1689789000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mahmood Moayed Makooi is physically located?
The Mahmood Moayed Makooi is physically situated at the following address: 2121 Redwood St, Vallejo, CA, 945903603.
What is Mahmood Moayed Makooi's area of expertise and its corresponding taxonomy classification?
The Mahmood Moayed Makooi's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mahmood Moayed Makooi receive its 1689789000 assignment from the Centers for Medicare & Medicaid Services?
The Mahmood Moayed Makooi was assigned its 1689789000 by the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date were the details related to Mahmood Moayed Makooi most recently updated or revised?
The information pertaining to Mahmood Moayed Makooi, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1699778829
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