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Individual
DR. MEHRAK KHADAVI FARAHMAND
Active
Individual
DR. MEHRAK KHADAVI FARAHMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0114740
—
CA
Enumeration date
04/25/2006
Last updated
05/17/2023
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