Individual provider · Type 1 NPI
Khosrow Mehrany, MD
Specialist · Modesto, CA
NPI number
1235123142
Active · reactivated Apr 13, 2006
Practice location
1729 Tully Rd Ste 9
Modesto, CA 95350-4081
Fax (209) 554-0311
Mailing address
64 Mariposa Ave
Los Gatos, CA 95030-4317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A87519 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1235123142
Khosrow Mehrany, MD's National Provider Identifier is 1235123142, issued on Sep 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Jun 21, 2021.