Gholamreza Nagadeh Bonabi in Northridge - Specialist

Gholamreza Nagadeh Bonabi - NPI 1154439743

Gholamreza Nagadeh Bonabi is a Specialist in Northridge, California. Gholamreza Nagadeh Bonabi practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gholamreza Nagadeh Bonabi is 1154439743. The last update date is 2007-07-08.

Gholamreza Nagadeh Bonabi's current location address is 17075 Devonshire St, Northridge, California. You can contact this provider via phone number 8183684212 and fax number 8183669351. The mailing address for Gholamreza Nagadeh Bonabi is 17075 Devonshire St, Northridge, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gholamreza Nagadeh Bonabi
Address 17075 Devonshire St, Northridge, California
Phone Number 8183684212
Fax Number 8183669351
Sole Proprietor Y
Credentials M.D.,

NPI Number Detail

NPI Number 1154439743
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17075 Devonshire St
City Northridge
State California (CA)
Post Code 913251600
Phone Number 8183684212
Fax Number 8183669351

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A46355
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Gholamreza Nagadeh Bonabi

What is the unique identifier code issued to Gholamreza Nagadeh Bonabi by the Centers for Medicare & Medicaid Services (CMS)?

The Gholamreza Nagadeh Bonabi has been assigned the NPI (National Provider Identifier) 1154439743. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Gholamreza Nagadeh Bonabi is located?

The Gholamreza Nagadeh Bonabi is situated at the following address: 17075 Devonshire St, Northridge, CA, 913251600.

What is the Gholamreza Nagadeh Bonabi's specialty and taxonomy code?

The Gholamreza Nagadeh Bonabi's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Gholamreza Nagadeh Bonabi's 1154439743 issued?

The Gholamreza Nagadeh Bonabi's 1154439743 was issued on 2006-08-25.

As of what date was the information regarding Gholamreza Nagadeh Bonabi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gholamreza Nagadeh Bonabi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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