Individual
JOSEPH JOHN ESFAHBODI RAD
Active
Individual
JOSEPH JOHN ESFAHBODI RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
PA184727
OR
363AM0700X
Medical Physician Assistant
Primary
10778
GA
363AM0700X
Medical Physician Assistant
PA184727
OR
Other
Enumeration date
08/02/2017
Last updated
01/03/2022
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