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Individual
DARIUSH HEIDARY
Active
Individual
DARIUSH HEIDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
018668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000133042D
—
GA
05
—
146170
—
SC
01
—
582162071066
CHAMPUS
—
01
—
967351
BLUE CROSS BLUE SHIELD
GA
01
—
P00279274
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
02/07/2011
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