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Individual
DR. KHOSROW MAHDAVI
Active
Individual
DR. KHOSROW MAHDAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A33589
CA
207RH0000X
Hematology (Internal Medicine) Physician
A33589
CA
207RH0003X
Hematology & Oncology Physician
Primary
A33589
CA
207RX0202X
Medical Oncology Physician
A33589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33589
LICENSE NUMBER
CA
Enumeration date
05/27/2005
Last updated
11/15/2023
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