Amadpour, Moe
Amadpour, Moe is an individual health care provider with primary practice located at 1159 Roadrunner Way , Simi Valley CA 93065-3159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Amadpour, Moe can be contacted via phone (805) 583-2643.Contact Information
Primary practice address
1159 Roadrunner Way
Simi Valley CA 93065-3159
Phone: (805) 583-2643
Fax: (805) 583-0111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G81182 | California |
Profile Details
| NPI number | 1508965476 |
|---|---|
| LBN Legal business name | Amadpour, Moe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508965476 | NPPES |
| California | MEDICAID | 00G811820 | |
| California | Other | 95-4761541 | |
| California | Other | G81182 |
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