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Individual

DR. MAZDAK A KHALIGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417 S WAKARA WAY, SALT LAKE CITY, UT 84108-1436
(801) 581-2955
(801) 587-6346
Mailing address
PO BOX 841052, LOS ANGELES, CA 90084-1052

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
8978824-1205
UT
207ZP0101X
Anatomic Pathology Physician
Primary
8978824-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD186792
OR

Other

Enumeration date
06/10/2009
Last updated
01/09/2024
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