Individual
DR. MEHDI AKHAVAN-HEIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MACARTHUR BLVD STE 305, MUNSTER, IN 46321-2920
(219) 703-2401
Mailing address
2345 E. PRATER WAY, SUITE 207, SPARKS, NV 79434
(775) 356-9393
(775) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01082460A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036116297
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
140502
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
17043
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
50152
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
55408
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME130433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346414562
—
NV
05
—
1982064754
—
CA
05
—
2839405
—
OH
05
—
3810013319
—
WV
Enumeration date
04/17/2008
Last updated
11/08/2019
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