DR. MOHAMMAD REZA DADSETAN MD NPI 1588757074

NPI Information

NPI: 1588757074
Provider Name: DR. MOHAMMAD REZA DADSETAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
225 S GLENOAKS BLVD
BURBANK, CA
ZIP 91502
Phone: (818) 843-1919
Get Directions

DR. Mohammad Reza Dadsetan, MD is a diagnostic radiology radiology in Burbank, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mohammad Reza Dadsetan, MD NPI is 1588757074. 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:

225 S GLENOAKS BLVD
BURBANK, CA
ZIP 91502
Phone: (818) 843-1919
Fax: (818) 843-3587

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/26/2023.

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	2085R0202X	Radiology	Diagnostic Radiology	A49092	CALIFORNIA	Yes
2	174400000X	Specialist		A49092	CALIFORNIA	No

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	A49092	OTHER	CALIFORNIA	MEDICAL CERTIFICATE
2	00A490920	MEDICAID	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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