Moghadam, Hassan A

Moghadam, Hassan A is an sole proprietor health care provider with primary practice located at 120 Spalding Dr Suite 407, Naperville IL 60540-6508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moghadam, Hassan A can be contacted via phone (630) 357-4260.

Contact Information

Primary practice address
120 Spalding Dr Suite 407 Naperville IL 60540-6508
Phone: (630) 357-4260
Fax: (630) 357-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036057766 Illinois

Profile Details

NPI number 1497850010
LBN Legal business name Moghadam, Hassan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 16th, 2008 - about 16 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 1497850010 NPPES
Illinois MEDICAID 036057766

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