Tehrani, Mahtab
Tehrani, Mahtab is an sole proprietor health care provider with primary practice located at 4301 W Markham St Room S4/05, Little Rock AR 72205-7101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Neuropathology is her primary health care specialty. Tehrani, Mahtab can be contacted via phone (501) 686-5603.Contact Information
Primary practice address
4301 W Markham St Room S4/05
Little Rock AR 72205-7101
Phone: (501) 686-5603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuropathology | 207ZN0500X | 236331 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 236331 | New York |
Profile Details
| NPI number | 1356527360 |
|---|---|
| LBN Legal business name | Tehrani, Mahtab |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Jan 12th, 2009 - about 17 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 | 1356527360 | NPPES |
| Arkansas | MEDICAID | 174687001 |
Popular Providers
-
Stemmer-Rachamimov, Anat O
55 Fruit St Wrn 3, Boston MA 02114-2696 -
Kirby, Patricia A
200 Hawkins Dr , Iowa City IA 52242-1009 -
Hedley-Whyte, E Tessa
55 Fruit St Wrn 325, Boston MA 02114-2621 -
Husain, Muhammad Muazzam
4300 W 7Th St , Little Rock AR 72205-5446 -
Goold, Eric
10810 Executive Center Dr Ste 100 , Little Rock AR 72211-4386 -
Leavitt, Matthew O
5100 Talley Rd Ste 300 , Little Rock AR 72204-8040 -
Morrison, John M
316 S Dunworth St , Visalia CA 93292-6702 -
Louis, David N
55 Fruit St Wrn 2, Boston MA 02114-2621