Individual
MOHAMMAD REZA MIZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L2477
TX
207RN0300X
Nephrology Physician
Primary
L2477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167912801
—
TX
05
—
167912803
—
TX
Enumeration date
06/01/2005
Last updated
07/22/2024
Update your record
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