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Individual
TAHER REZA KERMANSHAHI
Active
Individual
TAHER REZA KERMANSHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2011037784
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2014-01236
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301108473
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD36887
SC
Other
Enumeration date
07/16/2008
Last updated
03/30/2023
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