Individual
MAHDI ROSTAMIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11500 STATE HWY 121, UNITE #720, FRISCO, TX 75035
(732) 890-7885
Mailing address
11500 STATE HIGHWAY 121 UNIT 720, FRISCO, TX 75035-4830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
R2723
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
R2723
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R2723
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/04/2013
Last updated
03/07/2023
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