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General NPI Number Information
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NPI Number | 1801078050
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Entity Type | Organization
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Legal Business Name | KIYA MOVASSAGHI MD. P.C.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 330 S. GARDEN WAY SUITE 100
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City | EUGENE
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State | OR
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Zip | 97401
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Country | US
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Telephone | 541-686-8700
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Fax | 541-686-9004
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Provider Business Mailing Address
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Address Line | 330 S. GARDEN WAY, SUITE 100
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City | EUGENE
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State | OR
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Zip | 97401
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Country | US
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Telephone | 541-686-8700
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Fax | 541-686-9004
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Authorized Official
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Title or Position | PATIENT ACCTS
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Name | DR. KIYA MOVASSAGHI
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Credential | M.D. P.C.
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Telephone | 541-686-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD23767
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License Number State | OR
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