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Individual

DR. MEHRZAD BOZORGNIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 DAVID A BARRY DR, SHOREWOOD, IL 60431-0580
(858) 699-6044
Mailing address
1211 DAVID A BARRY DR, SHOREWOOD, IL 60431-0580
(858) 699-6044

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001-141
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50220322
NM
Enumeration date
01/19/2007
Last updated
07/09/2007
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