Azadi, Fereydoun

Azadi, Fereydoun is an individual health care provider with primary practice located at 1401 Spanos Ct Ste 127 , Modesto CA 95355. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Azadi, Fereydoun can be contacted via phone (209) 525-3848.

Contact Information

Primary practice address
1401 Spanos Ct Ste 127 Modesto CA 95355
Phone: (209) 525-3848
Fax: (209) 525-3886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A31338 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X A31338 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X A31338 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A31338 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A31338 California

Profile Details

NPI number 1790714541
LBN Legal business name Azadi, Fereydoun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1790714541 NPPES
California MEDICAID GR076520

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