MINOO AZADEH MD NPI 1548372824

NPI Information

NPI: 1548372824
Provider Name: MINOO AZADEH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
11254 GOTHIC AVE
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 368-4442
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Minoo Azadeh, MD is a general practice in Granada Hills, CA. Minoo Azadeh, MD NPI is 1548372824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11254 GOTHIC AVE
GRANADA HILLS, CA
ZIP 91344-709
Phone: (818) 368-4442
Fax: (818) 368-5053

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/9/2007.

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	208D00000X	General Practice		A38738	CALIFORNIA	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	FHC70468F	MEDICAID	CALIFORNIA
2	A38738	OTHER	CALIFORNIA	LICENSE #

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: 11/14/2023

NPI Synchronization or Removal

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