Hamidreza Moghaddam Md Pa
LBN: Hamidreza Moghaddam Md Pa
Hamidreza Moghaddam Md Pa is an health care organization with primary practice located at 527 Ne 124Th St , North Miami FL 33161-5423. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Hamidreza Moghaddam Md Pa can be contacted via phone (305) 895-9233, or through Moghaddam, Hamidreza via phone (305) 895-9233.
Contact Information
Primary practice address
527 Ne 124Th St
North Miami FL 33161-5423
Phone: (305) 895-9233
Fax: (305) 895-9274
Website:
Authorized official contact:
Name: Moghaddam, Hamidreza Doctor of Medicine (MD)
Phone: (305) 895-9233
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME91771 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3670 | Florida |
Profile Details
| NPI number | 1457300386 |
|---|---|
| LBN Legal business name | Hamidreza Moghaddam Md Pa |
| DBA Doing business as | |
| Authorized official | Moghaddam, Hamidreza Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 2nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457300386 | NPPES |
| Florida | MEDICAID | 273130400 |
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