Individual
DR. GHOLAM R ZADEII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8905
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C140338
CA
208M00000X
Hospitalist Physician
Primary
C140338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295865
—
IA
01
—
C140338
CA LICENSE
CA
Enumeration date
10/11/2005
Last updated
11/22/2016
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