Individual
DR. MOHAMMADREZA MOKHTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 575-0091
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 575-0091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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