Organization
GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHOLAM R MOHAMMADZADEH M.D. (OWNER)
(805) 379-6717
Entity
Organization
Contact information
Practice address
77 ROLLING OAKS DR STE 202, THOUSAND OAKS, CA 91361-1018
(805) 379-6717
(805) 379-6719
Mailing address
77 ROLLING OAKS DR STE 202, THOUSAND OAKS, CA 91361-1018
(805) 379-6717
(805) 379-6719
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
06/25/2024
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