Provider Demographics
NPI:1720191737
Name:NAHEEDY, MOHAMMAD HOSSAIN (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:HOSSAIN
Last Name:NAHEEDY
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:P.O.BOX 35000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93385-5000
Mailing Address - Country:US
Mailing Address - Phone:949-640-7332
Mailing Address - Fax:661-326-2334
Practice Address - Street 1:1700 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306
Practice Address - Country:US
Practice Address - Phone:661-326-2334
Practice Address - Fax:661-326-2982
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA382522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA17560Medicare UPIN