Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A125669 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A125669 | CA |
NPI | 1831393289 |
---|---|
Provider Name | Dr. Burhan Mohamedali |
First Address | Chula Vista, CA 91911-6600 |
Second Address | Chula Vista, CA 91911-6600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 16/01/2018 |