Provider Demographics
NPI:1154881522
Name:JAHANGIRI, PEGAH (MD)
Entity type:Individual
Prefix:DR
First Name:PEGAH
Middle Name:
Last Name:JAHANGIRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3224 WOOD STREAM LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2242
Mailing Address - Country:US
Mailing Address - Phone:215-603-9630
Mailing Address - Fax:
Practice Address - Street 1:1335 BUENAVENTURA BLVD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0160
Practice Address - Country:US
Practice Address - Phone:530-287-9758
Practice Address - Fax:530-276-0027
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA187585207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology