Individual
MEHRAN FOTOOHI
Active
Individual
MEHRAN FOTOOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00036818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR & INDUSTRY
WA
01
—
1194FO
BLUE SHIELD
WA
05
—
8286932
—
WA
01
—
MD8980W
ALASKA MEDICAID
WA
01
—
US0863710
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
04/07/2008
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