Individual
SEPIDEH MEHRAVARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-1229
(252) 744-1889
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME157400
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2015
Last updated
10/18/2022
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