Individual
DR. MOHAMMAD REZA RAFIEETARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1432 KIMBROUGH RD, GERMANTOWN, TN 38138-2405
(901) 767-4499
(901) 761-0727
Mailing address
1432 KIMBROUGH RD, GERMANTOWN, TN 38138-2405
(901) 767-4499
(901) 761-0727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OD1200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169638
—
TN
Enumeration date
05/24/2005
Last updated
01/23/2025
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