Mahdavi, Zohreh
Mahdavi, Zohreh is an individual health care provider with primary practice located at 1650 Beam Ave Suite 200, Maplewood MN 55109-1192. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mahdavi, Zohreh can be contacted via phone (651) 221-9051.Contact Information
Primary practice address
1650 Beam Ave Suite 200
Maplewood MN 55109-1192
Phone: (651) 221-9051
Fax: (651) 223-5220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 38852 | Minnesota |
Profile Details
| NPI number | 1356333116 |
|---|---|
| LBN Legal business name | Mahdavi, Zohreh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jan 5th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356333116 | NPPES |
| Minnesota | MEDICAID | 910525500 |
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