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Individual

DR. ALIREZA MAHMOUDIEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3303 M ST, MERCED, CA 95348-2714
(209) 726-3410
(209) 726-3371
Mailing address
PO BOX 511597, LOS ANGELES, CA 90051-8152
(209) 726-3410
(209) 726-3371

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A90452
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A904520
CA
Enumeration date
11/01/2006
Last updated
06/24/2014
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