DR. MANOUCHEHR AZAD M.D. NPI 1376508044

NPI Information

NPI: 1376508044
Provider Name: DR. MANOUCHEHR AZAD, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
1700 COFFEE RD
DEPARTMENT OF RADIATION ONCOLOGY
MODESTO, CA
ZIP 95355
Phone: (209) 572-7237
Get Directions

DR. Manouchehr Azad, M.D. is a radiation oncology radiology in Modesto, CA. 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. DR. Manouchehr Azad, M.D. NPI is 1376508044. 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:

1700 COFFEE RD
DEPARTMENT OF RADIATION ONCOLOGY
MODESTO, CA
ZIP 95355-803
Phone: (209) 572-7237
Fax: (209) 526-5280

The enumeration date for this NPI number is 4/18/2006 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	2085R0001X	Radiology	Radiation Oncology	C41250	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	00C412500	MEDICAID	CALIFORNIA
2	D82125	MEDICARE UPIN
3	ZZZ13464Z	MEDICARE ID-TYPE UNSPECIFIED		GROUP MEDICARE ID NUMBER
4	GR0078260	MEDICAID	CALIFORNIA
5	00C412500	MEDICARE ID-TYPE UNSPECIFIED		PPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »