Dr. Mazyar E Ahmadi, M.D.
Radiology, Vascular & Interventional Radiology in Rancho Cordova, CA. Individual provider (NPI-1).
NPI number1609008481
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1609008481
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mazyar E Ahmadi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2009
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | A101569 | CA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | A101569 | CA |
Practice location
3400 Data DrRancho Cordova, CA 95670-7956
Phone 916-379-2871 · Fax 916-853-4730
Mailing address
3400 Data DrRancho Cordova, CA 95670-7956
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