Individual provider · Type 1 NPI

Mattin Moazzam, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1487591780 Active

Practice location

1620 W Harrison St
Chicago, IL 60612-3801

Call (312) 942-5000 Map

Mailing address

13031 Sandown Way
San Diego, CA 92130-3740

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487591780

Mattin Moazzam, MD's National Provider Identifier is 1487591780, issued on May 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2026.