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Individual

MOJTABA AKHTARI

Active
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Individual

MOJTABA AKHTARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036116898
IL
207R00000X
Internal Medicine Physician
60234
GA
207RH0003X
Hematology & Oncology Physician
Primary
25688
NE
207RH0003X
Hematology & Oncology Physician
A129758
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116898
DEPT OF PROFESSIONAL REG.
IL
01
—
60234
COMPOSITE STATE BOARD
GA
Enumeration date
01/31/2008
Last updated
06/09/2014
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