MEDICARE: MEHRAN NAVIZY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	2270	IL

General Provider Information

NPI Number	:	1710325170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHRAN NAVIZY

Provider Business Mailing Address
First Line	:	8404 WARREN PKWY
Second Line	:	APT # 2433
City	:	FRISCO
State	:	TX
Zip	:	75034
Country	:	US
Telephone Number	:	714-234-3363
Fax Number	:

Provider Business Practice Location Address
First Line	:	8404 WARREN PKWY
Second Line	:	APT # 2433
City	:	FRISCO
State	:	TX
Zip	:	75034
Country	:	US
Telephone Number	:	714-234-3363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	06/07/2013

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Directions to “ MEHRAN NAVIZY ” Practice Location

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