Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MEHRDAD SOHEILIMOGHADAM
Active
Individual
MEHRDAD SOHEILIMOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401414790
VA
1223P0300X
Periodontics
Primary
0401414790
VA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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