Individual
HAMID REZA AMIRSHEYBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 549-1200
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 549-1200
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
00A743440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A743440
—
CA
Enumeration date
12/22/2005
Last updated
04/30/2018
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