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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356527360 NPPES
Arkansas MEDICAID 174687001

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