Individual
DR. MEHRNAZ MEHRZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
4301 X ST, SACRAMENTO, CA 95817-2214
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.085744
IL
390200000X
Student in an Organized Health Care Education/Training Program
17217
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.085744
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
17217
PTL LICENSE
CA
Enumeration date
03/09/2018
Last updated
05/30/2025
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