Provider Demographics
NPI:1609851187
Name:HEKMAT, VAHID (MD)
Entity Type:Individual
Prefix:DR
First Name:VAHID
Middle Name:
Last Name:HEKMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23101 SHERMAN PL
Mailing Address - Street 2:SUITE 407
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2003
Mailing Address - Country:US
Mailing Address - Phone:818-999-3800
Mailing Address - Fax:818-999-3808
Practice Address - Street 1:23101 SHERMAN PL
Practice Address - Street 2:SUITE 407
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2003
Practice Address - Country:US
Practice Address - Phone:818-999-3800
Practice Address - Fax:818-999-3808
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC513412080P0202X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01642144Medicaid
NY6B0951Medicare UPIN
NYI09954Medicare UPIN