Provider Demographics
NPI:1841245149
Name:ARBABZADEH, MASSOUD (MD)
Entity type:Individual
Prefix:DR
First Name:MASSOUD
Middle Name:
Last Name:ARBABZADEH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 VALLEY CIRCLE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2809
Mailing Address - Country:US
Mailing Address - Phone:424-420-4224
Mailing Address - Fax:747-777-4110
Practice Address - Street 1:12827 HARBOR BLVD STE G
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5838
Practice Address - Country:US
Practice Address - Phone:323-973-2323
Practice Address - Fax:714-777-4110
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0018412085R0204X
FLME1413542085R0204X
NJ25MA104762002085R0204X
NY2558002085R0204X
AZ62507208D00000X
CAC1713312085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02428866Medicaid
000527365001OtherBLUE SHIELD OF WESTERN NY
1611705OtherINDEPENDANT HEALTH
255800OtherNY LICENSE
P00047810OtherRAILROAD MEDICARE
00026468802OtherUNIVERA
00026468801OtherUNIVERA
P00047810OtherRAILROAD MEDICARE
000527365001OtherBLUE SHIELD OF WESTERN NY