RAMIN GHAZIZADEH LLC NPI 1366083032

NPI Information

NPI: 1366083032
Provider Name: RAMIN GHAZIZADEH LLC

Doing Business As: RAMIN GHAZIZADEH DPM

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
231 MAIN ST
PARK FOREST, IL
ZIP 60466
Phone: (708) 748-3338
Get Directions

RAMIN GHAZIZADEH LLC is a foot and ankle surgery podiatrist in Park Forest, IL. RAMIN GHAZIZADEH LLC NPI is 1366083032. The provider is registered as an organization entity type.
The provider Is Doing Business As Ramin Ghazizadeh Dpm.

The provider's business location address is:

231 MAIN ST
PARK FOREST, IL
ZIP 60466-097
Phone: (708) 748-3338
Fax: (708) 748-4332

The provider's authorized official is Ramin Ghazizadeh .
The authorized official title is Owner/ceo and has the following contact phone number (312) 330-4574.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric			No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016005783	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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