Khosrow Mehrany, Md Inc A Medical C Corporation

NPI 1073721593 - Dermatology - 207ND0101X

NPI Details
NPI 1073721593
Enumeration Date 05/18/2007
Last Updated 08/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KHOSROW KHOSROW
Position OWNER DIRECTION MD
Phone (408) 679-8404
Fax (209) 554-0311
Practice Location
1130 COFFEE RD
7A
MODESTO CA, 95355-4228, US
Phone (408) 679-8404
Fax (209) 554-0311
Business Location
64 MARIPOSA AVE
LOS GATOS CA, 95030-4317, US
Phone (408) 679-8404
Fax (408) 516-5861
Toxanomy
Taxonomy Code 207ND0101X
License State
License Number
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According to our database, Khosrow Mehrany, Md Inc A Medical C Corporation NPI is 1073721593, taxonomy code is 207ND0101X Khosrow Mehrany, Md Inc A Medical C Corporation physically located at 1130 Coffee Rd, Modesto CA, 95355-4228. NPI Number 1033115704 has the healthcare provider type.

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1073721593 NPI number is provided on an as is basis without warranty of any kind. 1073721593 is maintained by the National Plan & Provider Enumeration System. The contents of Khosrow Mehrany, Md Inc A Medical C Corporation are for informational purposes only.