Individual
REZA SIROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A184987
CA
2085R0202X
Diagnostic Radiology Physician
036170340
IL
2085R0202X
Diagnostic Radiology Physician
A184987
CA
Other
Enumeration date
03/21/2017
Last updated
05/27/2025
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