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Individual
DR. MOHAMMED MORTAZAVI
Active
Individual
DR. MOHAMMED MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
49421
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
49421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871740241
NPI
AZ
05
—
923231
—
AZ
Enumeration date
08/27/2008
Last updated
05/22/2020
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