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Individual
MEHDI SHAMLOO
Active
Individual
MEHDI SHAMLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01077867A
IN
207Q00000X
Family Medicine Physician
19520
NV
207Q00000X
Family Medicine Physician
84493
WI
207Q00000X
Family Medicine Physician
Primary
ME169983
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356638811
—
NV
01
—
19520
STATE LICENSE
NV
05
—
300002768
—
IN
Enumeration date
07/06/2011
Last updated
06/06/2025
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