Gholam Reza Mohammadzadeh in Thousand Oaks - Vascular Surgery
Gholam Reza Mohammadzadeh - NPI 1699743625
Gholam Reza Mohammadzadeh is a Vascular Surgery in Thousand Oaks, California. Gholam Reza Mohammadzadeh practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Gholam Reza Mohammadzadeh is 1699743625. The last update date is 2019-12-26.
Gholam Reza Mohammadzadeh's current location address is 2190 Lynn Rd, Thousand Oaks, California. You can contact this provider via phone number 8054958050 and fax number 8054962160. The mailing address for Gholam Reza Mohammadzadeh is 2190 Lynn Rd, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gholam Reza Mohammadzadeh |
|---|---|
| Address | 2190 Lynn Rd, Thousand Oaks, California |
| Phone Number | 8054958050 |
| Fax Number | 8054962160 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699743625 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2019-12-26 |
Provider Mailing Address Detail
| Address | 2190 Lynn Rd |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913601980 |
| Phone Number | 8054958050 |
| Fax Number | 8054962160 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G74293 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G742930 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gholam Reza Mohammadzadeh by the Centers for Medicare & Medicaid Services?
The Gholam Reza Mohammadzadeh has been issued the NPI (National Provider Identifier) 1699743625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gholam Reza Mohammadzadeh?
The Gholam Reza Mohammadzadeh is physically situated at 2190 Lynn Rd, in the city of Thousand Oaks, state of CA, with the postal code 913601980.
What is the Gholam Reza Mohammadzadeh's area of specialization and corresponding taxonomy classification?
The Gholam Reza Mohammadzadeh's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
When did the Gholam Reza Mohammadzadeh receive its 1699743625?
The Gholam Reza Mohammadzadeh was issued its 1699743625 on 2006-03-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Gholam Reza Mohammadzadeh last refreshed?
The information related to the Gholam Reza Mohammadzadeh, including its address, specialty, and other relevant details, was last updated on 2019-12-26.