Mohammadzadeh, Gholam Reza
Mohammadzadeh, Gholam Reza is an individual health care provider with primary practice located at 77 Rolling Oaks Dr Ste 202 , Thousand Oaks CA 91361-1018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mohammadzadeh, Gholam Reza can be contacted via phone (805) 379-6717.Contact Information
Primary practice address
77 Rolling Oaks Dr Ste 202
Thousand Oaks CA 91361-1018
Phone: (805) 379-6717
Fax: (805) 379-6719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G74293 | California |
Profile Details
| NPI number | 1699743625 |
|---|---|
| LBN Legal business name | Mohammadzadeh, Gholam Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jun 25th, 2024 - about last year |
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 | 1699743625 | NPPES |
| California | MEDICAID | 00G742930 |
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