Heydarian, Mahmood

Heydarian, Mahmood is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite 3500, Huntington WV 25701-3656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Heydarian, Mahmood can be contacted via phone (304) 691-1300.

Contact Information

Primary practice address
1600 Medical Center Dr Suite 3500 Huntington WV 25701-3656
Phone: (304) 691-1300
Fax: (304) 691-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 10456 West Virginia

Profile Details

NPI number 1912961699
LBN Legal business name Heydarian, Mahmood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912961699 NPPES
Ohio MEDICAID 0486380
Ohio MEDICAID 0112266000
Ohio MEDICAID 64694532

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