Taheri, Hamed

Taheri, Hamed is an individual health care provider with primary practice located at 1045 Atlantic Ave Ste 512 , Long Beach CA 90813-3422. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Taheri, Hamed can be contacted via phone (562) 435-0862.

Contact Information

Primary practice address
1045 Atlantic Ave Ste 512 Long Beach CA 90813-3422
Phone: (562) 435-0862
Fax: (562) 435-0863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD446301 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 274616 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X MD446301 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia

Profile Details

NPI number 1679766745
LBN Legal business name Taheri, Hamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Dec 18th, 2018 - about 6 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 1679766745 NPPES
Pennsylvania MEDICAID 103082942
Pennsylvania MEDICAID 112351300
Pennsylvania Other A138318

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