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Contact Information

KAMRAN HAYEL MOGHADAM, MD
917 W WALNUT ST
JOHNSON CITY, TN37604
 Phone: 423-439-6464
 Fax: 423-439-7118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for KAMRAN HAYEL MOGHADAM · (Male)

NPI # 1437344595
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2007
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 45509
  • TN Medicaid Q052015
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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