AZADEH MODARESI M.D. – NPI #1992707004
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

AZADEH MODARESI is a physician located in VAN NUYS, CA. NPPES has assigned the NPI number 1992707004 to AZADEH MODARESI on June 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZADEH MODARESI below.

NPI Profile for
AZADEH MODARESI

NPI Number
1992707004
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AZADEH MODARESI
Credentials
M.D.
Primary location
6730A WHITE OAK AVE
VAN NUYS, CA 91406
Phone: (818) 668-8898 Fax: (818) 668-8893
Mailing address
PO BOX 547
WOODLAND HILLS, CA 91365-0547
Phone: (818) 668-8898 Fax: (918) 668-8893
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for AZADEH MODARESI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAA70235
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
CA A70235

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.