Individual
SHAHROKH KHOSHSOHBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 SNELLING AVE N STE 39, ROSEVILLE, MN 55113-6030
(651) 633-6300
Mailing address
2100 SNELLING AVE N STE 39, ROSEVILLE, MN 55113-6030
(651) 633-6300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3546
MN
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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