Davanloo, Hedieh

Davanloo, Hedieh is an individual health care provider with primary practice located at 809 W Randol Mill Rd , Arlington TX 76012-2507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Davanloo, Hedieh can be contacted via phone (817) 277-7133.

Contact Information

Primary practice address
809 W Randol Mill Rd Arlington TX 76012-2507
Phone: (817) 277-7133
Fax: (817) 274-6367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X M7933 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M7933 Texas

Profile Details

NPI number 1659567758
LBN Legal business name Davanloo, Hedieh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated May 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659567758 NPPES
Texas Other 19345073 MEDICAID - OTHER
Texas Other 8X9564 MEDICAID - OTHER
Texas MEDICAID 193450701 MEDICAID - OTHER
Texas Other 193450704 MEDICAID - OTHER
Texas Other P00642499 MEDICAID - OTHER
Texas Other 193450705 MEDICAID - OTHER

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