Hamid Reza Mojibian
Radiology (Vascular & Interventional Radiology)

Address: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369
Phone: 2037852140

Hamid Reza Mojibian (NPI# 1821109539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1821109539
Entity Type Individual
Full Name Hamid Reza Mojibian
Credential MD
Gender Male
Practice Address 800 Howard Ave
Yale Physicians Bldg
New Haven
CT 06519-1369
Practice Telephone 2037852140
Practice Fax Number 2037856414
Mailing Address Po Box 9805
300 George St 6th Flr
New Haven
CT 06536-0805
Mailing Telephone 2037857998
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-31
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0204X Radiology · Vascular & Interventional Radiology Allopathic & Osteopathic Physicians 042074 CT

Physician Overview

NPI 1821109539
PAC ID by PECOS 3779589007
Professional Enrollment ID I20061010000596
Full Name Hamid Reza Mojibian
Organization Legal Name YALE UNIVERSITY
Phone Number 2038764000
Gender M
Credential MD
Graduation Year 1994
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 9436061736
Number of Group Practice Members 1682
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Office Location

Street Address 800 HOWARD AVE
YALE PHYSICIANS BLDG
City NEW HAVEN
State CT
Zip Code 06519-1369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801153663 Bertrand Paul Tseng Psychiatry & Neurology 800 Howard Ave, New Haven, CT 06519-1369 2012-04-18
1992287577 Brittany Cyr Pharmacist 800 Howard Ave, New Haven, CT 06519-1369 2018-08-30
1700395506 Lauren Katherine Fagan Audiologist 800 Howard Ave, New Haven, CT 06519-1369 2017-09-25
1548784093 Megan Frank Harari Nurse Practitioner 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 2017-07-26
1346777992 Courtney Toombs Student in an Organized Health Care Education/Training Program 800 Howard Ave, New Haven, CT 06519-1369 2017-05-15
1306373071 Mariana Espinal Student in an Organized Health Care Education/Training Program 800 Howard Ave, , Gynecology and Reproductive Sciences, New Haven, CT 06510-3206 2017-05-12
1376079129 Jordan Brand Student in an Organized Health Care Education/Training Program 800 Howard Ave, Ybp 133 Yale-new Haven Hospital, New Haven, CT 06519-1369 2017-05-11
1073040796 David Molho Student in an Organized Health Care Education/Training Program 800 Howard Ave, Yale New Haven Hospital, New Haven, CT 06519-1369 2017-05-11
1558713008 Heather Osborn Otolaryngology 800 Howard Ave, New Haven, CT 06519-1369 2016-07-08
1982056826 Lachelle Maureen Lazarus Audiologist 800 Howard Ave, Ypb 4th Floor, New Haven, CT 06519-1369 2016-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1578958005 Benjamin David Gallagher Student in an Organized Health Care Education/Training Program 789 Howard Ave Bsmt, New Haven, CT 06519 2015-04-01
1013302637 Christina Josephine Mcclure Student in an Organized Health Care Education/Training Program 430 Congress Ave, New Haven, CT 06519 2015-03-31
1447654736 Anna Martucci Social Worker 230 S Frontage Rd, New Haven, CT 06519 2014-10-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346715349 Aldo Mauricio Velasquez Radiology 20 York St, New Haven, CT 06510-3220 2018-10-05
1235487794 Derek Biederman Radiology 20 York Street, Ynhh Interventional Radiology, New Haven, CT 06510-3220 2012-08-15
1700035292 Yale University Radiology 20 York St, Yale New Haven Hospital, New Haven, CT 06510-3220 2008-09-09
1619154895 Igor Latich Radiology 20 York Street, T-209, Yale-new Haven Hospital, New Haven, CT 06510 2008-01-30
1447396296 Todd Schlachter Radiology 333 Cedar St, New Haven, CT 06510-3206 2007-01-29
1336180926 Hyun S Kim Radiology 333 Cedar St, P.o. 208042, New Haven, CT 06510-3206 2006-06-08
1447204805 Jean-francois H Geschwind Radiology 20 York St, Radiology and Biomedical Imaging, New Haven, CT 06510-3220 2006-05-20
1568452969 John E Aruny Radiology 20 York St, Ynhh South Pavilion - 2nd Floor, New Haven, CT 06510-3220 2005-10-26
1710979059 Lee H Greenwood Radiology 1450 Chapel St, New Haven, CT 06511-4405 2005-08-22
1619969953 Douglas D Silin Radiology 1450 Chapel St, New Haven, CT 06511-4405 2005-08-22
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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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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