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Individual

MOJTABA MOGHADAM I

Active
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Individual

MOJTABA MOGHADAM I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G45294
CA
207RN0300X
Nephrology Physician
Primary
G45294
CA

Other

Enumeration date
07/30/2006
Last updated
03/16/2012
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