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Organization
HAMIDREZA MOGHADDAM MD PA
Active
Organization
HAMIDREZA MOGHADDAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMIDREZA MOGHADDAM M.D. (OWNER)
(305) 895-9233
Entity
Organization
Contact information
Practice address
527 NE 124TH ST, NORTH MIAMI, FL 33161-5423
(305) 895-9233
(305) 895-9274
Mailing address
527 NE 124TH ST, NORTH MIAMI, FL 33161-5423
(305) 895-9233
(305) 895-9274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME91771
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273130400
—
FL
Enumeration date
05/08/2006
Last updated
02/02/2016
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