Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A66815 | CA |
N | 207RI0011X | Interventional Cardiology | A66815 | CA |
NPI | 1013083179 |
---|---|
Provider Name | Mehrdad Jafarzadeh |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Carmichael, CA 95608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 06/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A668150 | (05) | CA |
060068134 | RAILROAD MEDICARE (01) | CA |
GR0068230 | (05) | CA |
GR0068231 | (05) | CA |
GR0068232 | (05) | CA |
GR0068233 | (05) | CA |
GR0068235 | (05) | CA |
GR006823B | (05) | CA |
H01801 | (02) | |
ZZZ47673Z | BLUE SHIELD (01) | CA |
ZZZ47674Z | BLUE SHIELD (01) | CA |
ZZZ47676Z | BLUE SHIELD (01) | CA |
ZZZ62306Z | BLUE SHIELD (01) | CA |