Hayel-Moghadam, Kamran

Hayel-Moghadam, Kamran is an individual health care provider with primary practice located at 917 W Walnut St , Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hayel-Moghadam, Kamran can be contacted via phone (423) 439-6464.

Contact Information

Primary practice address
917 W Walnut St Johnson City TN 37604
Phone: (423) 439-6464
Fax: (423) 439-7118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 45509 Tennessee

Profile Details

NPI number 1437344595
LBN Legal business name Hayel-Moghadam, Kamran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Feb 28th, 2024 - about 10 months 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 1437344595 NPPES
Tennessee MEDICAID Q052015

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