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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679766745 | NPPES |
Pennsylvania | MEDICAID | 103082942 | |
Pennsylvania | MEDICAID | 112351300 | |
Pennsylvania | Other | A138318 |
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