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Contact Information

HASSAN SHEIKH MOGHADDAS, MD
15332 LAKESHORE DR STE 101
CLEARLAKE, CA95422
 Phone: 707-461-7986
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HASSAN SHEIKH MOGHADDAS · (Male)

NPI # 1124469838
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2013
Last updated 06/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A142083
  • PA License # MT207360
Hospital affiliation(s)
  • ST HELENA HOSPITAL - (Acute Care)
    10 WOODLAND ROAD
    SAINT HELENA, CA 94574
  • ST HELENA HOSPTIAL-CLEARLAKE - (Critical Access)
    15630 18TH AVE - HWY 53
    CLEARLAKE, CA 95422
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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