Individual
DR. KAMRAN HAYEL-MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604
(423) 439-6464
(423) 439-7118
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-6464
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
45509
TN
2084P0800X
Psychiatry Physician
45509
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052015
—
TN
Enumeration date
09/12/2007
Last updated
08/13/2024
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