Individual
KHOSROW MEHRANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1729 TULLY RD STE 9, MODESTO, CA 95350-4081
(209) 338-7758
(209) 554-0311
Mailing address
64 MARIPOSA AVE, LOS GATOS, CA 95030-4317
(209) 338-7758
(209) 554-0311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A87519
CA
Other
Enumeration date
09/07/2005
Last updated
06/21/2021
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