Individual
DR. MAHTAB TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST, ROOM S4/05, LITTLE ROCK, AR 72205-7101
(501) 686-5603
Mailing address
4301 W MARKHAM ST, ROOM S4/05, LITTLE ROCK, AR 72205-7101
(501) 686-5603
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
236331
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
236331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174687001
—
AR
Enumeration date
01/21/2008
Last updated
01/12/2009
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