Individual
DR. EILYA MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1927
(916) 781-1757
Mailing address
3250 APPIAN WAY, EL DORADO HILLS, CA 95762-5653
(916) 878-2588
(916) 878-2622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
759225
CA
208M00000X
Hospitalist Physician
Primary
A85645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A856450
—
CA
Enumeration date
09/13/2006
Last updated
01/10/2023
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