Individual
PAYAM MOHAMMADINEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF TEXAS MEDICAL BRANCH 301 UNIVERSITY BLVD, GALVESTON, TX 77555-0709
(409) 747-2849
(409) 772-7120
Mailing address
UNIVERSITY OF TEXAS MEDICAL BRANCH 301 UNIVERSITY BLVD, GALVESTON, TX 77555-0709
(409) 747-2849
(409) 772-7120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BP10079529
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
06/20/2022
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