Individual
MEHDI ROOZBAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9801 DUPONT AVE S STE 110, BLOOMINGTON, MN 55431-3179
(612) 355-6510
(612) 713-9360
Mailing address
8401 GOLDEN VALLEY RD STE 330, GOLDEN VALLEY, MN 55427-4488
(612) 355-6510
(612) 713-9360
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
TRN30142
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
70631
MN
Other
Enumeration date
06/25/2020
Last updated
10/06/2023
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