Individual
DR. MOHAMMAD REZA KHORASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST FL 1, SACRAMENTO, CA 95816-7058
(916) 733-3301
(916) 281-3882
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
267176
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A131555
CA
Other
Enumeration date
09/04/2010
Last updated
02/11/2020
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