Individual
ABBAS MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 LONE TREE WAY # 3, ANTIOCH, CA 94509-6018
(925) 754-7200
Mailing address
3700 LONE TREE WAY # 3, ANTIOCH, CA 94509-6018
(925) 754-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A31325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A313250
—
CA
Enumeration date
08/05/2014
Last updated
08/05/2014
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