Individual
DR. ROOZBEH A. AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1117 W TOKAY ST STE A, LODI, CA 95240-3844
(209) 484-3000
(209) 273-2722
Mailing address
PO BOX 1462, HUGHSON, CA 95326-1462
(209) 448-3000
(209) 273-2722
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
T8744
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
T8744
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
A166182
CA
Other
Enumeration date
05/24/2017
Last updated
06/17/2025
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