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Individual

MAHPAREH G MOSTOUFIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 469-5728
Mailing address
800 VINIAL ST, SUITE B407A, PITTSBURGH, PA 15212-5151
(412) 323-4402
(412) 323-4418

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD038191E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010893060010
PA
01
101117
UPMC HEALTH PLAN
PA
01
220003659
RR MEDICARE
PA
01
444133
HIGHMARK/BLUE SHIELD
PA
01
66531
MEDPLUS
PA
Enumeration date
08/21/2006
Last updated
11/23/2010
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