Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A137699 | CA |
NPI | 1720346240 |
---|---|
Provider Name | Dr. Behram Parvez Mody |
First Address | Orange, CA 92868-2994 |
Second Address | Orange, CA 92868-2994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 18/08/2020 |