Individual
MEHRDAD FETRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 798-1000
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D79103
MD
2085R0202X
Diagnostic Radiology Physician
Primary
S8984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096558800
—
MD
Enumeration date
06/30/2008
Last updated
04/09/2022
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