Individual
DR. MASSOUD NEMATI
Active
Individual
DR. MASSOUD NEMATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD6873
DC
207RC0000X
Cardiovascular Disease Physician
Primary
D0022305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023061700
—
DC
01
—
0468
BLUESHEILD
DC
01
—
34412701
BLUESHEILD
MD
01
—
521202860
TAX ID
MD
05
—
972231900
—
MD
Enumeration date
08/19/2006
Last updated
04/23/2010
Update your record
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