Vafadouste, Gholamreza

Vafadouste, Gholamreza is an sole proprietor health care provider with primary practice located at 2141 Colorado Ave , Turlock CA 95382-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vafadouste, Gholamreza can be contacted via phone (209) 575-4575.

Contact Information

Primary practice address
2141 Colorado Ave Turlock CA 95382-2011
Phone: (209) 575-4575
Fax: (209) 575-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A79905 California

Profile Details

NPI number 1164470639
LBN Legal business name Vafadouste, Gholamreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Apr 16th, 2010 - about 15 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 1164470639 NPPES
California MEDICAID 00A799050

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