Mamad Bagheri MD PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

MAMAD BAGHERI MD PA

Practice address

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Phone

(951) 500-7286

NPI assigned

Nov 5, 2016

Last updated

Nov 5, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mamad Bagheri, MDNPI 1467560201

Title

Sole Member/Owner

Phone

(951) 500-7286

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mamad Mirza Bagheri, MD

  • MOHS-Micrographic Surgery Physician
  • Naples, FL
  • NPI 1467560201
  Authorized official Same address or phone
• Brian Glenn Mills Sr., DPM

  • Foot Surgery Podiatrist
  • Hemet, CA
  • NPI 1386647220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1073055257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "951-500-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "951-500-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMAD BAGHERI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-05",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "MAMAD",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "951-500-7286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majid Sharolli, D.D.S., P.a. (Wichita Falls Dental)
• Tracy Makepeace, LCSW
• Kavita Malani
• Srikar R Malireddy, MD
• Patti Mallow, LPC
• Managing Life Mental Health Clinic LLC
• Magan Nicole Mangold, LPC
• Darby J Mankins
• Danielle Elaine Mansfield, LCSW
• Maplewood Ambulatory Surgery Center, Inc.

• MOHS-Micrographic Surgery Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.