Taebi-Harandy, Mahdi

Taebi-Harandy, Mahdi is an individual health care provider with primary practice located at 1046 Western Ave , Brattleboro VT 05301-7144. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Taebi-Harandy, Mahdi can be contacted via phone (802) 230-0194.

Contact Information

Primary practice address
1046 Western Ave Brattleboro VT 05301-7144
Phone: (802) 230-0194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 12515 Connecticut
Dental Providers / General Practice 1223G0001X DN1859198 Massachusetts

Profile Details

NPI number 1366925356
LBN Legal business name Taebi-Harandy, Mahdi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2018
Last updated Jan 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366925356 NPPES
California MEDICAID 103234

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