Individual
DR. MOHAMMAD REZA ROSHANDEL MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1530
(843) 792-1414
Mailing address
171 ASHLEY AVE STE 623-A, CHARLESTON, SC 29425-0100
(843) 792-4538
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
04/12/2023
Last updated
11/30/2025
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