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1124469838
HASSAN SHEIKH MOGHADDAS
CLEARLAKE, CA
NPI
1124469838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CA A142083)
Additional Taxonomies
208600000X Surgery
(Licence: PA MT207360)
Enumeration Date
2013-07-10
Last Update Date
2018-06-26
Business Address
HASSAN SHEIKH MOGHADDAS M.D
15332 LAKESHORE DR STE 101
CLEARLAKE, CA 95422
Phone number: 707-461-7986
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Mailing Address
HASSAN SHEIKH MOGHADDAS M.D
15332 LAKESHORE DR STE 101
CLEARLAKE, CA 95422-9761
Phone number:
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