# AMIR HOSSAIN KHODABANDELOU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144547829
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | C0003440 | MD | — |
| 363A00000X | Physician Assistant | C03440 | MD | Yes |

## Other

- **Enumeration date:** 04/21/2010
- **Last updated:** 07/10/2024