Movahed Shariat Panahi, Mohammad Reza

Movahed Shariat Panahi, Mohammad Reza is an individual health care provider with primary practice located at 1 Mercado St Ste 2020 , Durango CO 81301-7306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Movahed Shariat Panahi, Mohammad Reza can be contacted via phone (970) 247-1120.

Contact Information

Primary practice address
1 Mercado St Ste 2020 Durango CO 81301-7306
Phone: (970) 247-1120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0057483 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35065 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35065 Arizona

Profile Details

NPI number 1578574232
LBN Legal business name Movahed Shariat Panahi, Mohammad Reza
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 7th, 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 1578574232 NPPES
Arizona MEDICAID 098905
Arizona Other P00326371

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