Organization
REZA VAFADOUSTE MD A MEDICAL CORPORATION
Active
Other names
MODESTO TURLOCK MERCED HEART & VASCULAR INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE ADAMS (OFFICE MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
850 W OLIVE AVE, SUITE A, MERCED, CA 95348-2427
(209) 725-1990
(209) 529-3260
Mailing address
PO BOX 4398, MODESTO, CA 95352-4398
(209) 575-4575
(209) 529-3260
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A79905
CA
207RP1001X
Pulmonary Disease Physician
A100098
CA
Other
Enumeration date
05/28/2009
Last updated
07/13/2010
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