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Individual

MEHRDAD MOSTAAN

Active
Find providers by NPI
Individual

MEHRDAD MOSTAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D24061
MD
207RI0011X
Interventional Cardiology Physician
Primary
D24061
MD
207RI0011X
Interventional Cardiology Physician
MD420656
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022106
TRIGON BC/BS
VA
01
041618
AETNA US HEALTHCARE
MD
01
2118989
ALLIANCE, MDIPA, OPTIMUM
MD
01
25803
MD IPA
MD
05
32665
MD
05
326651600
MD
01
6256M
BC/BS MARYLAND
MD
Enumeration date
10/13/2005
Last updated
05/12/2023
Update your record

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