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Individual

MEHRDAD VAZIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN568878
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001783285
HIGHMARK
PA
01
106615
GEISINGER
PA
01
1150129
AETNA-HMO
PA
01
2620650000
INDEPENDENCE BLUE CROSS
PA
01
50058185
CAPITAL BLUE CROSS
PA
01
7846522
AETNA-NON HMO
PA
01
P00288387
RR MEDICARE
PA
Enumeration date
04/17/2006
Last updated
04/12/2011
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