Provider Demographics
NPI:1649062837
Name:MOTALEBI, AFSHIN (SOLE PROPRIETOR)
Entity type:Individual
Prefix:MR
First Name:AFSHIN
Middle Name:
Last Name:MOTALEBI
Suffix:
Gender:M
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:AFSHIN
Other - Middle Name:
Other - Last Name:MOTALEBI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:UNITED HOME MEDICAL
Mailing Address - Street 1:711 N BELL BLVD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2209
Mailing Address - Country:US
Mailing Address - Phone:512-686-8866
Mailing Address - Fax:512-686-8866
Practice Address - Street 1:711 N BELL BLVD STE B
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2209
Practice Address - Country:US
Practice Address - Phone:512-686-8866
Practice Address - Fax:512-686-8866
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies