Organization
MUSTAFA MAHDAVY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MAHDAVY MD (OWNER)
(501) 960-4848
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(805) 250-9233
(805) 578-3911
Mailing address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(501) 960-4848
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
03/28/2022
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