Individual
DR. MAZYAR E AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2871
(916) 853-4730
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A101569
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A101569
CA
Other
Enumeration date
08/12/2009
Last updated
10/25/2016
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