# MOHAMMAD JAMSHIDI-NEZHAD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891797023
- **Gender:** Man
- **Credential:** DO F.A.C.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 20A 10547 | CA | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 11/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 188617802 | — | TX |
| 01 | — | 8AE230 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | 8F6090 | MEDICARE PTAN | TX |