Individual
MEHDI GHESHLAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE STE 301, CHEYENNE, WY 82001-3178
(307) 637-1600
(307) 637-1699
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 637-1600
(307) 637-1699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11144A
WY
207RC0000X
Cardiovascular Disease Physician
33356
NE
Other
Enumeration date
07/11/2011
Last updated
02/17/2021
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