Khoddami, Seyed Mohammad Reza
Khoddami, Seyed Mohammad Reza is an sole proprietor health care provider with primary practice located at 2705 Loma Vista Rd Suite 206, Ventura CA 93003-1581. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Khoddami, Seyed Mohammad Reza can be contacted via phone (805) 643-4067.Contact Information
Primary practice address
2705 Loma Vista Rd Suite 206
Ventura CA 93003-1581
Phone: (805) 643-4067
Fax: (805) 643-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | A109665 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A109665 | California |
Profile Details
| NPI number | 1437278603 |
|---|---|
| LBN Legal business name | Khoddami, Seyed Mohammad Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jun 1st, 2012 - about 13 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 | 1437278603 | NPPES |
| California | Other | A109665 | CALIFORNIA STATE |
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