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Individual
GILAD MIZRAHI GHANBARI
Active
Individual
GILAD MIZRAHI GHANBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
080683
CT
208100000X
Physical Medicine & Rehabilitation Physician
1026572
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
080683
CT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
307681
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OP61079628
WA
208D00000X
General Practice Physician
307681
NY
208D00000X
General Practice Physician
OP61079628
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
08/15/2026
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