Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mobin P Ghavami, MD

Individual provider Internal Medicine Physician · NPI 1447239744

Dr. Mobin P Ghavami, MD is an Internal Medicine in Lodi, California. Qualified in 1988, 38 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 S Fairmont Ave Ste A
Lodi, CA 95240-5119
Phone: (209) 333-2500
Fax: (209) 333-3779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A54317 (CA)

Record details

NPI number1447239744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 13, 2006
Last updated in NPPESMarch 11, 2014
Mailing addressPo Box 331, Woodbridge, CA 95258-0331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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