Individual
MR. EGHTEDAROLAH SADEGHPOUR
Active
Individual
MR. EGHTEDAROLAH SADEGHPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G1181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T30Z
BCBS
TX
05
—
00T30Z
—
TX
05
—
099977301
—
TX
01
—
200022490
MEDICARE RAILROAD
TX
01
—
MDG1181
WORKERS COMP
PA
Enumeration date
09/15/2005
Last updated
11/28/2012
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