Individual
DR. ALIREZA ABDOLMOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4267
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.093864
OH
207RX0202X
Medical Oncology Physician
A114907
CA
207RX0202X
Medical Oncology Physician
Primary
MD61527860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1149070
BLUE SHIELD
CA
05
—
1871816207
—
CA
05
—
3069183
—
OH
01
—
P01192795
RAILROAD MCR
CA
Enumeration date
03/12/2010
Last updated
12/30/2024
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