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Individual
AMIRREZA TABATABAI MOTAMENI
Active
Individual
AMIRREZA TABATABAI MOTAMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2019-00821
NC
208600000X
Surgery Physician
49337
KY
2086S0102X
Surgical Critical Care Physician
Primary
2019-00821
NC
2086S0102X
Surgical Critical Care Physician
49337
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992091128
—
NC
Enumeration date
06/27/2011
Last updated
11/18/2022
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