Provider Demographics
NPI:1831735224
Name:MOHADJER CONSULTING LLC
Entity type:Organization
Organization Name:MOHADJER CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHADJER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-888-5437
Mailing Address - Street 1:8855 9TH ST N STE 100
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-3443
Mailing Address - Country:US
Mailing Address - Phone:727-888-5437
Mailing Address - Fax:727-279-4822
Practice Address - Street 1:8855 9TH ST N STE 100
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-3443
Practice Address - Country:US
Practice Address - Phone:727-888-5437
Practice Address - Fax:727-279-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty