# SEYED-MOJTABA GASHTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649271925
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 239940 | NY | — |
| 208600000X | Surgery Physician | 25MB06746000 | NJ | — |
| 208600000X | Surgery Physician | OS14009 | FL | — |
| 2086S0129X | Vascular Surgery Physician | H0062393 | MD | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 11/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 020127500 | — | FL |
| 05 | — | 7978103 | — | NJ |