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Individual

DR. KHASHAYAR DEHGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD

Contact information

Practice address
3515 S 15TH ST, SUITE 101, TACOMA, WA 98405-1952
(253) 756-0933
(253) 759-6553
Mailing address
3515 S 15TH ST, SUITE 101, TACOMA, WA 98405-1952
(253) 756-0933
(253) 759-6553

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD00047758
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00047758
WA

Other

Enumeration date
07/30/2006
Last updated
01/22/2010
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