Gholamreza Vafadouste in Modesto - Cardiovascular Disease
Gholamreza Vafadouste - NPI 1164470639
Gholamreza Vafadouste is a Cardiovascular Disease in Modesto, California. Gholamreza Vafadouste practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gholamreza Vafadouste is 1164470639. The last update date is 2010-04-16.
Gholamreza Vafadouste's current location address is Po Box 4398, Modesto, California. You can contact this provider via phone number 2095754575 and fax number 2095754598. The mailing address for Gholamreza Vafadouste is Po Box 4398, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gholamreza Vafadouste |
|---|---|
| Address | Po Box 4398, Modesto, California |
| Phone Number | 2095754575 |
| Fax Number | 2095754598 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164470639 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2010-04-16 |
Provider Mailing Address Detail
| Address | Po Box 4398 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953524398 |
| Phone Number | 2095754575 |
| Fax Number | 2095754598 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | A79905 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A799050 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gholamreza Vafadouste?
The Gholamreza Vafadouste has been issued the NPI (National Provider Identifier) 1164470639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gholamreza Vafadouste?
The Gholamreza Vafadouste is situated at Po Box 4398, in the city of Modesto, state of CA, with the zip code 953524398.
What is the Gholamreza Vafadouste's specialty and taxonomy code?
The Gholamreza Vafadouste's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When was the Gholamreza Vafadouste's 1164470639 issued?
The Gholamreza Vafadouste's 1164470639 was issued on 2006-05-05.
As of what date were the details related to Gholamreza Vafadouste most recently updated or revised?
The information pertaining to Gholamreza Vafadouste, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-16.