ALIREZA FOTOUHI GHIAM MD NPI 1689123879

NPI Information

NPI: 1689123879
Provider Name: ALIREZA FOTOUHI GHIAM, MD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Organization: GENESISCARE USA OF CALIFORNIA A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
1316 NELSON AVE
MODESTO, CA
ZIP 95350
Phone: (209) 575-5870
Get Directions

Alireza Fotouhi Ghiam, MD is a radiation oncology radiology in Modesto, CA with 21 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Alireza Fotouhi Ghiam, MD NPI is 1689123879. 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:

1316 NELSON AVE
MODESTO, CA
ZIP 95350-341
Phone: (209) 575-5870

The NPI 1689123879 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 9/28/2016 and was last updated on 1/8/2020.

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	2085R0001X	Radiology	Radiation Oncology	A165739	CALIFORNIA	Yes
2	2085R0001X	Radiology	Radiation Oncology	MD458852	PENNSYLVANIA	No

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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