Shohreh Moazami in Battle Creek - Pediatrics

Shohreh Moazami - NPI 1639179146

Shohreh Moazami is a Pediatrics in Battle Creek, Michigan. Shohreh Moazami practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shohreh Moazami is 1639179146. The last update date is 2007-07-08.

Shohreh Moazami's current location address is 2545 Capital Ave Sw, Battle Creek, Michigan. You can contact this provider via phone number 2699698723 and fax number 2699698724. The mailing address for Shohreh Moazami is 2545 Capital Ave Sw, Battle Creek, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Shohreh Moazami
Address 2545 Capital Ave Sw, Battle Creek, Michigan
Phone Number 2699698723
Fax Number 2699698724
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1639179146
Provider Enumeration Date 2005-07-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2545 Capital Ave Sw
City Battle Creek
State Michigan (MI)
Post Code 490157120
Phone Number 2699698723
Fax Number 2699698724

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301062801
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5922108 MI AETNA
994 MI HEALTH PLAN OF MICHIGAN
3501310791 MI BLUE CROSS BLUE SHEILD
12-31350 MI UNITED HEALTH CARE
147687 MI GREAT LAKES HEALTH PLAN

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FAQs about Shohreh Moazami

What is the unique 10-digit identifier code assigned to Shohreh Moazami by the Centers for Medicare & Medicaid Services?

The Shohreh Moazami has been issued the NPI (National Provider Identifier) 1639179146 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Shohreh Moazami's facilities are geographically located?

The facilities of Shohreh Moazami are physically situated at the following location: 2545 Capital Ave Sw, Battle Creek, MI, 490157120.

What is Shohreh Moazami's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shohreh Moazami's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639179146 to Shohreh Moazami?

The Centers for Medicare & Medicaid Services assigned the 1639179146 to Shohreh Moazami on 2005-07-26.

When was the information pertaining to Shohreh Moazami most recently updated or revised?

The details related to Shohreh Moazami, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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