Individual
DR. AMIR H HEDAYATI-RAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 W BROADWAY # 100, GLENDALE, CA 91204-1032
(818) 507-6404
(818) 507-6406
Mailing address
706 W BROADWAY # 100, GLENDALE, CA 91204-1032
(818) 507-6404
(818) 507-6406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A60239
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A60239
CA
207RI0011X
Interventional Cardiology Physician
A60239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A602390
—
CA
01
—
1659578110
GROUP NPI NUMBER
CA
01
—
P00319921
RAILROAD MEDICARE
CA
Enumeration date
07/17/2006
Last updated
05/20/2020
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