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Individual

DR. ALIREZA GHEZAVATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
53217
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A180795
CA

Other

Enumeration date
06/25/2019
Last updated
04/28/2026
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