Organization
DJAMSHID MOSHIRNIA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DJAMSHID MOSHIRNIA M.D. (OWNER)
(209) 943-0168
Entity
Organization
Contact information
Practice address
555 W BENJAMIN HOLT DR STE 200A, STOCKTON, CA 95207-3839
(209) 943-0168
(209) 943-0416
Mailing address
555 W BENJAMIN HOLT DR STE 200A, STOCKTON, CA 95207-3839
(209) 943-0168
(209) 943-0416
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A33715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337150
—
CA
Enumeration date
04/05/2007
Last updated
02/11/2008
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