1417995150 NPI number — DR. MONIREH MOGHADDAM DC

Table of content: DR. MONIREH MOGHADDAM DC (NPI 1417995150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417995150 NPI number — DR. MONIREH MOGHADDAM DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOGHADDAM
Provider First Name:
MONIREH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417995150
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 S FRIENDSWOOD DR
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
FRIENDSWOOD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77546-4581
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-993-9100
Provider Business Mailing Address Fax Number:
281-482-0750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 S FRIENDSWOOD DR
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
FRIENDSWOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77546-4581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-993-9100
Provider Business Practice Location Address Fax Number:
281-482-0750
Provider Enumeration Date:
06/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  9236 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 157280201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".