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Individual

MOHAMMAD REZA TAHERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
834 SW 122ND ST, SEATTLE, WA 98146-2737
(206) 328-4861

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ML20008387
WA

Other

Enumeration date
08/30/2006
Last updated
01/19/2009
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