Individual provider · Type 1 NPI

Fereydoon Mahjouri, MD

Specialist · Fridley, MN

NPI number 1710095419 Active

Practice location

500 Osborne Rd NE, Suite 130
Fridley, MN 55432-2765

Fax (763) 780-2812

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X23415 (MN)

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 1710095419

Fereydoon Mahjouri, MD's National Provider Identifier is 1710095419, issued on Aug 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fridley, MN. The record was last updated on Jul 8, 2007.