MODJGAN LADAN KEYGHOBADI M.D. NPI 1083859219

NPI Information

Modjgan Ladan Keyghobadi, M.D. is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Modjgan Ladan Keyghobadi, M.D. NPI is 1083859219. 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:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8311

The enumeration date for this NPI number is 12/2/2008 and was last updated on 12/2/2008.

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:

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