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Contact Information

ABBAS MAHDAVI MD
3903 LONE TREE WAY
211
ANTIOCH, CA94509
 Phone: 925-754-7200
 Fax: 925-754-7290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ABBAS MAHDAVI MD

NPI # 1992842918
LBN Legal business name ABBAS MAHDAVI MD
Authorized official ABBAS MAHDAVI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # A313250
CA Other 6202716 MCAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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