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Individual

MEHRDAD ALEMOZAFFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
072548
GA
208600000X
Surgery Physician
BB5204071-MA00
MA
208800000X
Urology Physician
Primary
072548
GA

Other

Enumeration date
06/22/2007
Last updated
11/01/2021
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