Mohammadian, Abdolreza

Mohammadian, Abdolreza is an sole proprietor health care provider with primary practice located at 1536 N.Jefferson Street Va Outpatient Clinic, Jacksonville FL 32209-0000. He recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as his primary health care specialty. Mohammadian, Abdolreza can be contacted via phone (904) 475-5800.

Contact Information

Primary practice address
1536 N.Jefferson Street Va Outpatient Clinic Jacksonville FL 32209-0000
Phone: (904) 475-5800
Fax: (904) 301-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1386801116
LBN Legal business name Mohammadian, Abdolreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2008
Last updated Feb 4th, 2014 - about 11 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 1386801116 NPPES
Florida Other 1386801116 FAMILY PRACTICE AND GERIATRIC MEDICINE

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