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Individual
DR. REZA ARDEHALI
Active
Individual
DR. REZA ARDEHALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91843
CA
207R00000X
Internal Medicine Physician
Primary
U2144
TX
207RC0000X
Cardiovascular Disease Physician
A91843
CA
207RC0000X
Cardiovascular Disease Physician
U2144
TX
208M00000X
Hospitalist Physician
ME174339
FL
282N00000X
General Acute Care Hospital
A91843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104005370
CCS (MEDICAID)
CA
05
—
1104005370
—
CA
05
—
127333100
—
FL
Enumeration date
10/24/2007
Last updated
07/10/2025
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