DR. MOHAMMAD HASAN MALEKZADEH M.D. NPI 1639282072

NPI Information

NPI: 1639282072
Provider Name: DR. MOHAMMAD HASAN MALEKZADEH, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
10833 LE CONTE AVE
12-441 MDCC
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-3952
Get Directions

DR. Mohammad Hasan Malekzadeh, M.D. is a pediatric nephrology pediatrics in Los Angeles, CA. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Mohammad Hasan Malekzadeh, M.D. NPI is 1639282072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10833 LE CONTE AVE
12-441 MDCC
LOS ANGELES, CA
ZIP 90095-075
Phone: (310) 206-3952
Fax: (310) 206-0209

The NPI 1639282072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 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	2080P0210X	Pediatrics	Pediatric Nephrology	A25585	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	00A255850	MEDICAID	CALIFORNIA
2	GR0053510	MEDICAID	CALIFORNIA
3	E08347	MEDICARE UPIN	CALIFORNIA
4	W11810	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP NUMBER
5	WA25585D	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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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