Taebi-Harandy, Mahdi
Taebi-Harandy, Mahdi is an individual health care provider with primary practice located at 1046 Western Ave , Brattleboro VT 05301-7144. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Taebi-Harandy, Mahdi can be contacted via phone (802) 230-0194.Contact Information
Primary practice address
1046 Western Ave
Brattleboro VT 05301-7144
Phone: (802) 230-0194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 12515 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | DN1859198 | Massachusetts |
Profile Details
| NPI number | 1366925356 |
|---|---|
| LBN Legal business name | Taebi-Harandy, Mahdi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2018 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366925356 | NPPES |
| California | MEDICAID | 103234 |
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