Individual
DR. BEHNAM SEYED JAZAYERI-MOGHADASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 579-5628
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 579-5628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P85880
NY
Other
Enumeration date
09/28/2012
Last updated
03/17/2018
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