Iradj Ghadishah


Address: 10660 Wilshire Blvd, Suite 1108, Los Angeles, CA 90024-4526
Phone: 3104708220

Iradj Ghadishah (NPI# 1376564401, PAC ID# 3678464401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1376564401
PAC ID by PECOS 3678464401
Professional Enrollment ID I20040322001691
Full Name Iradj Ghadishah
Address 10660 Wilshire Blvd
Suite 1108
Los Angeles
CA 90024-4526
Phone Number 3104708220
Gender M
Credential MD
Graduation Year 1963
Primary Specialty FAMILY PRACTICE
Secondary Specialties GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
10660 Wilshire Blvd, Suite 1108, Los Angeles, CA 90024-4526 3104708220
10660 Wilshire Blvd, Los Angeles, CA 90024-4526 3104708220

Organization Information

Office Location

Street Address 10660 WILSHIRE BLVD
SUITE 1108
City LOS ANGELES
State CA
Zip 90024-4526

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Competitor

Search similar physicians

City LOS ANGELES
Zip Code 90024
Specialty FAMILY PRACTICE
City + Specialty LOS ANGELES + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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