Abdollahzadeh, Homan

Abdollahzadeh, Homan is an individual health care provider with primary practice located at 1330 N Indian Canyon Dr Suite F, Palm Springs CA 92262-4880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Abdollahzadeh, Homan can be contacted via phone (760) 864-4163.

Contact Information

Primary practice address
1330 N Indian Canyon Dr Suite F Palm Springs CA 92262-4880
Fax: (760) 864-4166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A60802 California
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X A60802 California

Profile Details

NPI number 1184634826
LBN Legal business name Abdollahzadeh, Homan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184634826 NPPES
California MEDICAID 00A608020

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