# DR. MEHRAN MEHRABI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033211099
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20002 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6344-15 | WI | Yes |
| 208600000X | Surgery Physician | 52824-20 | WI | — |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 09/05/2025