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Individual

MANOOCHEHR KHATAMI

Active
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Individual

MANOOCHEHR KHATAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
F8781
TX
2084P0800X
Psychiatry Physician
Primary
A37551
CA

Other

Enumeration date
08/04/2006
Last updated
08/07/2014
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