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Organization
MEHDI A MARVASTI MD PC
Active
Organization
MEHDI A MARVASTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI A MARVASTI MD (OWNER)
(315) 422-4422
Entity
Organization
Contact information
Practice address
104 UNION AVE, SUITE 1008, SYRACUSE, NY 13203-2761
(315) 422-4442
(315) 448-6126
Mailing address
104 UNION AVENUE, SUITE 1008, SYRACUSE, NY 13203-2761
(315) 422-4442
(315) 448-6126
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760176
—
NY
Enumeration date
09/06/2005
Last updated
08/22/2020
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