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Individual
DR. ALLEN ARDESTANI
Active
Individual
DR. ALLEN ARDESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25955
MS
2085N0700X
Neuroradiology Physician
Primary
57254
TN
2085R0202X
Diagnostic Radiology Physician
25955
MS
2085R0202X
Diagnostic Radiology Physician
57254
TN
Other
Enumeration date
07/19/2012
Last updated
04/03/2019
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