Individual
DR. ALIREZA MAHMOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 76TH ST STE 300, EDINA, MN 55435-3004
(952) 929-1131
Mailing address
3601 W 76TH ST STE 300, EDINA, MN 55435-3004
(952) 929-1131
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
80140
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
39157
FL
Other
Enumeration date
04/08/2024
Last updated
07/23/2025
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