Individual
DR. KHODADAD NAMIRANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1332 W HERNDON AVE STE 101, FRESNO, CA 93711-7118
(559) 277-6570
(559) 412-7143
Mailing address
1377 E ROSEMONT LN, FRESNO, CA 93730-3569
(559) 818-3055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A149928
CA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
A149928
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A149928
CA
Other
Enumeration date
10/16/2009
Last updated
08/08/2024
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