Mizani, Mohammad Reza

Mizani, Mohammad Reza is an individual health care provider with primary practice located at 215 N San Saba Ste 301 , San Antonio TX 78207-8101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mizani, Mohammad Reza can be contacted via phone (210) 212-8622.

Contact Information

Primary practice address
215 N San Saba Ste 301 San Antonio TX 78207-8101
Phone: (210) 212-8622
Fax: (210) 212-9197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L2477 Texas

Profile Details

NPI number 1497757660
LBN Legal business name Mizani, Mohammad Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497757660 NPPES
Texas MEDICAID 167912801
Texas MEDICAID 167912803

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