FEREYDOUN AZADI


Address: 1401 Spanos Ct Ste 127, Modesto, CA 95355
Phone: 2095253848

FEREYDOUN AZADI (NPI# 1790714541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790714541
Entity Type Individual
Full Name FEREYDOUN AZADI
Credential M.D.
Practice Address 1401 Spanos Ct Ste 127
Modesto
CA 95355
Mailing Address 15 Lombard Ln
Lafayette
CA 94549
Practice Telephone 2095253848
Practice Fax Number 2095253886
Enumeration Date 2006-07-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 208600000X Surgery A31338 CA Allopathic & Osteopathic Physicians
X 2086S0102X Surgery
Specialization: Surgical Critical Care
A31338 CA Allopathic & Osteopathic Physicians
X 2086S0127X Surgery
Specialization: Trauma Surgery
A31338 CA Allopathic & Osteopathic Physicians
X 2086S0129X Surgery
Specialization: Vascular Surgery
A31338 CA Allopathic & Osteopathic Physicians
X 208C00000X Colon & Rectal Surgery A31338 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR076520 05

Office Location

Street Address 1401 SPANOS CT STE 127
City MODESTO
State CA
Zip Code 95355

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023575693 Adventist Health Physicians Network Surgery 200 W Roseburg Ave Ste B1, Modesto, CA 95350-5200 2019-03-01
1881647360 Paul W Embree Surgery 4543 Roselle Av, Modesto, CA 95357 2006-05-18
1063479301 Patrick James Coates Surgery 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 2006-04-28
1053308197 Calvin M Lee Surgery 2336 Sylvan Ave, Ste C, Modesto, CA 95355-9294 2005-10-04
1366824161 Surgical Associates Inc Surgery 1700 Coffee Rd, Modesto, CA 95355-2803 2015-06-29
1871912519 Jahoon Koo Surgery 1700 Coffee Rd, Modesto, CA 95355 2014-04-09
1316388325 Andrew T Huber Surgery 1552 Coffee Rd Ste 200, Modesto, CA 95355 2013-07-08
1841636123 Rachel Hyunah Teng Surgery 1541 Florida Ave Ste 200, Modesto, CA 95350 2013-05-14
1942551049 Behnam Seyed Jazayeri-moghadass Surgery 1441 Florida Ave, Modesto, CA 95350-4404 2012-09-28
1467763300 Noran Barry Surgery 600 Coffee Rd, Modesto, CA 95355-4201 2010-06-25
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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