Mahdavy, Mustafa

Mahdavy, Mustafa is an individual health care provider with primary practice located at 1117 E. Devonshire Ave. Department Of Pathology , Hemet CA 92543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mahdavy, Mustafa can be contacted via phone (985) 789-7994.

Contact Information

Primary practice address
1117 E. Devonshire Ave. Department Of Pathology Hemet CA 92543
Phone: (985) 789-7994
Fax: (951) 765-4829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A93215 California

Profile Details

NPI number 1932296340
LBN Legal business name Mahdavy, Mustafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 18 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 1932296340 NPPES
Louisiana MEDICAID 1074730

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