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SEPI MAHOOTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13922 MENNONITE PT, SAN DIEGO, CA 92129-3134
(203) 506-7862
Mailing address
13922 MENNONITE PT, SAN DIEGO, CA 92129-3134
(203) 506-7862

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207ZC0500X
Cytopathology Physician
35.089487
OH
207ZC0500X
Cytopathology Physician
Primary
A109898
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.089487
OH

Other

Enumeration date
05/15/2007
Last updated
12/27/2021
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