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Organization

KHOSROW MEHRANY M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHOSROW MEHRANY MD (OWNER DIRECTION MD)
(408) 603-6366
Entity
Organization

Contact information

Practice address
1729 TULLY RD STE 9, MODESTO, CA 95350-4081
(209) 338-7758
(209) 554-0311
Mailing address
PO BOX 26310, SAN JOSE, CA 95159-6310
(408) 335-3966
(408) 292-2345

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
05/18/2007
Last updated
09/07/2022
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