Individual
DR. HAMED REZAISHIRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355-9711
(209) 557-6300
Mailing address
1501 CLAUS RD, MODESTO, CA 95355-9711
(716) 418-2042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A114718
CA
Other
Enumeration date
06/01/2008
Last updated
08/08/2024
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