Individual
MAHMOUD GOODARZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 CRAWFORD ST STE 100, NEEDHAM, MA 02494-2618
(617) 969-4100
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
242199
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M9320
TX
Other
Enumeration date
04/25/2008
Last updated
03/21/2018
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