Individual
MOHAMADMOSTAFA JAHANSOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CATHEDRAL DR, RAPID CITY, SD 57701-6018
(605) 755-5000
Mailing address
677 CATHEDRAL DR, RAPID CITY, SD 57701-6018
(605) 755-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
00016637
SD
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
00016637
SD
Other
Enumeration date
03/26/2020
Last updated
06/10/2025
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