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DR. MASSOUD H. AGAHI M.D.
Vascular Surgery >> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1952367070
Individual Registrant:DR. MASSOUD H. AGAHI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8750 WILSHIRE BLVD SUITE 150 BEVERLY HILLS, CA 90211-2703 US
Tel: 310-657-8237 Fax: 844-769-8008
Tel: 310-657-8237 Fax: 844-769-8008
Contact information for business:
PO BOX 573099 TARZANA, CA 91357-3099 US
Tel: 310-657-8237 Fax: 844-769-8008
Tel: 310-657-8237 Fax: 844-769-8008
Registration Information:
NPI: 1952367070
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2086S0129X | Allopathic & Osteopathic Physicians Surgery Vascular Surgery | CA | G75832 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G758320 | CA | 05 |
