Individual provider · Type 1 NPI
Anoosh Moadab, D.P.M.
Foot & Ankle Surgery Podiatrist · Fresno, CA
NPI number
1912904376
Active
Practice location
6115 N 1st St Ste 101
Fresno, CA 93710-5450
Fax (559) 436-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4514 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
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About NPI 1912904376
Anoosh Moadab, D.P.M.'s National Provider Identifier is 1912904376, issued on Jun 30, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fresno, CA. The record was last updated on Apr 20, 2012.