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Individual
SOLEYMAN MIRAKHOR
Active
Individual
SOLEYMAN MIRAKHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C52017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112345206002
BC
WI
05
—
32319200
—
WI
01
—
P00183975
RR MEDICARE
WI
Enumeration date
05/04/2006
Last updated
05/23/2012
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