Mazaheri, Mehrdad
Mazaheri, Mehrdad is an sole proprietor health care provider with primary practice located at 670 W Campbell Rd Ste 100, Richardson TX 75080-3393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mazaheri, Mehrdad can be contacted via phone (972) 889-3937.Contact Information
Primary practice address
670 W Campbell Rd Ste 100
Richardson TX 75080-3393
Phone: (972) 889-3937
Fax: (972) 889-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | K3330 | Texas |
Profile Details
| NPI number | 1750301560 |
|---|---|
| LBN Legal business name | Mazaheri, Mehrdad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1750301560 | NPPES |
| Texas | MEDICAID | P08196559 |
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