Amirahmadi, Modjtaba
Amirahmadi, Modjtaba is an individual health care provider with primary practice located at 1855 W Taylor St , Chicago IL 60612-7242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Amirahmadi, Modjtaba can be contacted via phone (312) 413-3593.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036.117612 | Illinois |
Profile Details
NPI number | 1497976831 |
---|---|
LBN Legal business name | Amirahmadi, Modjtaba |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Dec 8th, 2021 - about 3 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 | 1497976831 | NPPES |
California | Other | CI3011 | RAILROAD MEDICARE |
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