Dr. Khashayar Ebrahimzadeh
MD | Pediatrics | Male
Dr. Khashayar Ebrahimzadeh, MD is a Blythe, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Khashayar Ebrahimzadeh is
321 W Hobsonway Ste C, Blythe, California - 92225-1651. He can be contacted on phone at
760-922-4981.
Dr. Khashayar Ebrahimzadeh is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Khashayar Ebrahimzadeh is
1770144016 which was assigned by NPPES on 26 Jun, 2019 and it was last updated on 22 Aug, 2022.
Dr. Khashayar Ebrahimzadeh license number is
A176374 for Pediatrics (208000000X) in California.
Dr. Khashayar Ebrahimzadeh is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Khashayar Ebrahimzadeh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Khashayar Ebrahimzadeh |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Khashayar Ebrahimzadeh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 321 W Hobsonway Ste C
Blythe, CA, 92225-1651
United States |
|---|
| Phone Number : | 760-922-4981 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770144016 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 26 Jun, 2019 |
|---|
| Last Updated On : | 22 Aug, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Khashayar Ebrahimzadeh are as mentioned. Primary taxonomy code for Dr. Khashayar Ebrahimzadeh, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4351045098 | MI |
| 208000000X | Pediatrics | Yes | A176374 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Khashayar Ebrahimzadeh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4351045098 | MEDICAID | MI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5303 S CEDAR ST STE 205,
LANSING, MI, 48911-3800
United States | LANSING, MI | 517-887-4305 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | Pediatrics
| No affiliation |
|
| 5303 S Cedar St Ste 205,
Lansing, MI, 48911-3800
|
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 321 W Hobsonway Ste C
Blythe, CA, 92225-1651
United States |
|---|
| Phone Number : | 760-922-4981 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Khashayar Ebrahimzadeh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.