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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508965476 NPPES
California MEDICAID 00G811820
California Other 95-4761541
California Other G81182

Popular Providers