Individual
REZA ESHRAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(708) 216-3250
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME150175
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
1104246263
IL
Other
Enumeration date
04/16/2014
Last updated
09/07/2021
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