Individual
DR. MAHMOOD REZA KAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 CAMINO RAMON, SUITE 270, SAN RAMON, CA 94583-1396
(925) 866-8700
(925) 866-8701
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A77962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A779620
—
CA
01
—
P01173248
RAILROAD MEDICARE
CA
Enumeration date
02/27/2006
Last updated
07/12/2013
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