Individual
SINA SAMIR MORIDZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-4980
(505) 272-4661
(505) 272-0475
Mailing address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(775) 327-5174
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
03/27/2023
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