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Individual
DR. MEHDI MAHMOODZADEGAN
Active
Individual
DR. MEHDI MAHMOODZADEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C38367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005022061
BCBS
MI
01
—
3005041671
BCBS
MI
01
—
4301032665
RADIOLOGY
MI
Enumeration date
10/25/2007
Last updated
12/04/2012
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