Organization · NPI-2
Agah Medical PC
Internal Medicine, Cardiovascular Disease · Mountain View, CA
NPI number1316764293
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1316764293
- Entity type
- Organization (NPI-2)
- Legal business name
- Agah Medical PC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Oct 24, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – |
Practice location
2495 Hospital DriveSuite 550
Mountain View, CA 94040-4186
Phone 650-315-1252 · Fax 650-220-6075
Mailing address
2495 Hospital DriveUnit 550
Mountain View, CA 94040
Phone 650-315-1252
Authorized official
Ramtin Agah
Owner/President
6503151252
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