Individual provider · Type 1 NPI
Kamran Hayel-Moghadam, MD
Addiction Medicine (Preventive Medicine) Physician · Johnson City, TN
NPI number
1437344595
Active
Practice location
917 W Walnut St
Johnson City, TN 37604
Fax (423) 439-7118
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Other practice locations
- Corner Of Lamont & Veterans Way, James H. Quillen Va Medical Center, Mountain Home, TN 37684 · (423) 926-1171
- 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 · (423) 952-6474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 45509 (TN) |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | 45509 (TN) |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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About NPI 1437344595
Kamran Hayel-Moghadam, MD's National Provider Identifier is 1437344595, issued on Sep 12, 2007. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Johnson City, TN. The record was last updated on Aug 13, 2024.