Individual
DR. ABDOLREZA AGAHTEHRANI
Active
Individual
DR. ABDOLREZA AGAHTEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
43033
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000635481
ANTHEM
—
01
—
000000693017
ANTHEM - NCVA
KY
01
—
000057058W
HUMANA - NCVA
KY
05
—
201044560
—
IN
01
—
3737980000
PASSPORT ADVANTAGE
—
01
—
50025829
PASSPORT
—
01
—
50031143
PASSPORT & PASSPORT ADVTG - NCVA
KY
05
—
7100045440
—
KY
01
—
P00893011
RAILROAD MEDICARE - NCVA
KY
Enumeration date
08/28/2006
Last updated
09/17/2014
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