Moghaddam Smoot, Mahsa

Moghaddam Smoot, Mahsa is an individual health care provider with primary practice located at 1650 4Th St Se , Rochester MN 55904-4717. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Moghaddam Smoot, Mahsa can be contacted via phone (507) 529-6600.

Contact Information

Primary practice address
1650 4Th St Se Rochester MN 55904-4717
Phone: (507) 529-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 49671 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 49671 Minnesota
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 49671 Minnesota

Profile Details

NPI number 1568503191
LBN Legal business name Moghaddam Smoot, Mahsa
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 1st, 2023 - about last year

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 1568503191 NPPES
Minnesota MEDICAID 307488000
Minnesota Other 49671

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