Sohrevardi, Mahtab
Sohrevardi, Mahtab is an individual health care provider with primary practice located at 55 E California Blvd Ste 204 , Pasadena CA 91105-3954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Sohrevardi, Mahtab can be contacted via phone (626) 397-8323.Contact Information
Primary practice address
55 E California Blvd Ste 204
Pasadena CA 91105-3954
Phone: (626) 397-8323
Fax: (626) 792-3611
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 5400601-1205 | Utah |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | C149677 | California |
Profile Details
NPI number | 1578777033 |
---|---|
LBN Legal business name | Sohrevardi, Mahtab |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2007 |
Last updated | Mar 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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