Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | R-9337 | IA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 41982 | IA |
NPI | 1598029217 |
---|---|
Provider Name | Amir Sajadian |
First Address | Mason City, IA 50401-2800 |
Second Address | Mason City, IA 50401-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 20/04/2021 |