Individual provider · Type 1 NPI

Mohammad Mehdi Johari Moghadam, MD

Student in an Organized Health Care Education/Training Program · Lakeland, FL

NPI number 1043158975 Active

Practice location

300 Parkview Pl
Lakeland, FL 33805-4550

Call (863) 687-1300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043158975

Mohammad Mehdi Johari Moghadam, MD's National Provider Identifier is 1043158975, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeland, FL. The record was last updated on Mar 23, 2026.