SHAHAB MOMTAZI MD NPI 1679648117

NPI Information

NPI: 1679648117
Provider Name: SHAHAB MOMTAZI, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
202 W WILLOW
# 305
VISALIA, CA
ZIP 93291
Phone: (559) 732-0762
Get Directions

Shahab Momtazi, MD is a pulmonary disease internal medicine in Visalia, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Shahab Momtazi, MD NPI is 1679648117. 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:

202 W WILLOW
# 305
VISALIA, CA
ZIP 93291
Phone: (559) 732-0762
Fax: (559) 627-5192

The enumeration date for this NPI number is 11/21/2006 and was last updated on 1/27/2010.

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	207R00000X	Internal Medicine		G68758	CALIFORNIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	G68758	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
1	D92327	MEDICARE UPIN
2	00G687580	MEDICAID	CALIFORNIA
3	00G687580	MEDICARE ID-TYPE UNSPECIFIED

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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