Individual
DR. MOHAMMAD REZA RAFIEETARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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