Provider Demographics
NPI:1508031949
Name:SADRZADEH RAFIE, AMIR HOSSEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:HOSSEIN
Last Name:SADRZADEH RAFIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 NORTH CENTRAL AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203
Mailing Address - Country:US
Mailing Address - Phone:818-242-4191
Mailing Address - Fax:818-242-4611
Practice Address - Street 1:500 NORTH CENTRAL AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203
Practice Address - Country:US
Practice Address - Phone:818-242-4191
Practice Address - Fax:818-242-4611
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2019-02-18
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Provider Licenses
StateLicense IDTaxonomies
CAA115445207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease