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Individual
REZA J. MEHRAN
Active
Individual
REZA J. MEHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M0489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168316101
—
TX
01
—
8P1617
BCBS
TX
01
—
P00391323
RR MEDICARE
TX
Enumeration date
09/13/2006
Last updated
07/02/2012
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