Individual
AMIR ASHKAN AHMADIAN TEHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-0647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T1627
TX
208M00000X
Hospitalist Physician
Primary
T1627
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427803801
—
TX
01
—
427803802
CSHCN
TX
Enumeration date
04/27/2018
Last updated
02/04/2022
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