Gholam Reza Motakhaveri in Biloxi - Internal Medicine
Gholam Reza Motakhaveri - NPI 1790747269
Gholam Reza Motakhaveri is a Internal Medicine in Biloxi, Mississippi. Gholam Reza Motakhaveri practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gholam Reza Motakhaveri is 1790747269. The last update date is 2019-09-30.
Gholam Reza Motakhaveri's current location address is 147 Reynoir Street, Biloxi, Mississippi. You can contact this provider via phone number 2283742051 and fax number 2283745741. The mailing address for Gholam Reza Motakhaveri is 147 Reynoir Street, Biloxi, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gholam Reza Motakhaveri |
|---|---|
| Address | 147 Reynoir Street, Biloxi, Mississippi |
| Phone Number | 2283742051 |
| Fax Number | 2283745741 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790747269 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2019-09-30 |
Provider Mailing Address Detail
| Address | 147 Reynoir Street |
|---|---|
| City | Biloxi |
| State | Mississippi (MS) |
| Post Code | 39530 |
| Phone Number | 2283742051 |
| Fax Number | 2283745741 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 15627 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118697 | MS | -- |
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What is the unique 10-digit identification code issued to Gholam Reza Motakhaveri by the Centers for Medicare & Medicaid Services?
The Gholam Reza Motakhaveri has been assigned the NPI (National Provider Identifier) 1790747269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gholam Reza Motakhaveri located?
The Gholam Reza Motakhaveri is located at 147 Reynoir Street, Biloxi, MS 39530.
What is the Gholam Reza Motakhaveri's specialty and taxonomy code?
The Gholam Reza Motakhaveri's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Gholam Reza Motakhaveri receive its 1790747269 assignment?
The Gholam Reza Motakhaveri was assigned its 1790747269 on 2006-04-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Gholam Reza Motakhaveri last refreshed?
The information related to the Gholam Reza Motakhaveri, including its address, specialty, and other relevant details, was last updated on 2019-09-30.