Organization Name: | MOHAMMAD RIAZ MD INCORPORATED |
NPI Number: | 1104014414 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMAD RIAZ (OWNER) |
Mailing Address: | 16444 Paramount Blvd Ste 103 Paramount |
State: | CA US |
Postal Code: | 907235453 |
Phone Number: | 5625317790 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A91582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |