Provider Demographics
NPI:1457538449
Name:MOHAJER, ROOZBEH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROOZBEH
Middle Name:
Last Name:MOHAJER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAJER MEDICAL
Other - Middle Name:
Other - Last Name:CORPORATION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:650-853-2905
Mailing Address - Fax:
Practice Address - Street 1:795 EL CAMINO REAL FL 2
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301
Practice Address - Country:US
Practice Address - Phone:650-853-2905
Practice Address - Fax:650-853-2966
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110400207R00000X, 207RH0002X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine