Individual
MOHAMMAD TEHRANIRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RIVER CT, APT # 406, JERSEY CITY, NJ 07310-2001
(703) 944-6639
Mailing address
1 RIVER CT, APT # 406, JERSEY CITY, NJ 07310-2001
(703) 944-6639
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA08517400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190543
—
NJ
01
—
48088
UHP-PHYS ASSOC OF TEANECK
NJ
01
—
P00765827
RR MEDICARE
NJ
01
—
P00836921
RR MEDICARE - TEANECK HOSPITALISTS
NJ
Enumeration date
04/24/2008
Last updated
08/23/2010
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