Moghaddam, Hamidreza
Moghaddam, Hamidreza is an individual health care provider with primary practice located at 527 Ne 124Th St , North Miami FL 33161-5423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moghaddam, Hamidreza can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 91771 | Florida |
Profile Details
| NPI number | 1477519122 |
|---|---|
| LBN Legal business name | Moghaddam, Hamidreza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jan 26th, 2024 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477519122 | NPPES |
| Florida | MEDICAID | 273130400 |
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