Siadati, Mohammad Reza
Siadati, Mohammad Reza is an individual health care provider with primary practice located at 2050 Hall Johnson Rd Ste 200 , Grapevine TX 76051-8766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Siadati, Mohammad Reza can be contacted via phone (817) 267-2678.Contact Information
Primary practice address
2050 Hall Johnson Rd Ste 200
Grapevine TX 76051-8766
Phone: (817) 267-2678
Fax: (817) 251-0039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M9006 | Texas |
Profile Details
| NPI number | 1194718452 |
|---|---|
| LBN Legal business name | Siadati, Mohammad Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Aug 15th, 2022 - about 3 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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