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BAHRAM TROY MOGHADAM DPM NPI 1790027183


NPI Information

NPI: 1790027183
Provider Name: BAHRAM TROY MOGHADAM, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: SCRIPPS HEALTH

PECOS Registration: Yes

Address:
10243 GENETIC CENTER DR
SAN DIEGO, CA
ZIP 92121
Phone: (858) 526-6147
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Bahram Troy Moghadam, DPM is a foot and ankle surgery podiatrist in San Diego, CA with 11 years of experience. Bahram Troy Moghadam, DPM NPI is 1790027183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

10243 GENETIC CENTER DR
SAN DIEGO, CA
ZIP 92121-310
Phone: (858) 526-6147
Fax: (858) 526-6076

The NPI 1790027183 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).

The enumeration date for this NPI number is 3/23/2013 and was last updated on 4/19/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE5237CALIFORNIAYes

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

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.