Individual
AHMAD GOODARZI
Active
Individual
AHMAD GOODARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246560
MA
207R00000X
Internal Medicine Physician
P2861
TX
207RP1001X
Pulmonary Disease Physician
Primary
P2861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338330902
—
TX
05
—
338330903
—
TX
01
—
338330904
CSHCN SERVICES PROGRAM
TX
01
—
8FC773
BLUE CROSS BLUE SHIELD
TX
01
—
8FX368
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/09/2010
Last updated
10/19/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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