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Individual
NADER TEHRANI
Active
Individual
NADER TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.064955
IL
2086S0129X
Vascular Surgery Physician
Primary
036.149554
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110448
STATE LICENSE
IL
Enumeration date
06/30/2014
Last updated
10/17/2022
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