Provider Demographics
NPI:1912187477
Name:ABDI POUR, AMIR (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:ABDI POUR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11234 ANDERSON ST
Mailing Address - Street 2:LOMA LINDA UNIVERSITY MEDICAL CENTER ROOM 1568
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354
Mailing Address - Country:US
Mailing Address - Phone:909-202-0252
Mailing Address - Fax:
Practice Address - Street 1:11370 ANDERSON ST
Practice Address - Street 2:FACULTY MEDICAL OFFICES , SUIT 3100
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354
Practice Address - Country:US
Practice Address - Phone:909-202-0252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2010-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA101425207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine