Healthcare Provider Details

I. General information

NPI: 1548223324
Provider Name (Legal Business Name): AMIR MEHDI TORABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 01/11/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 NTH GALLOWAY AVE 105
MESQUITE TX
75151-4897
US

IV. Provider business mailing address

4800 NORTH GALLOWAY AVE 200
MESQUITE TX
75150-4897
US

V. Phone/Fax

Practice location:
  • Phone: 972-677-7157
  • Fax: 972-677-7029
Mailing address:
  • Phone: 992-677-7157
  • Fax: 972-677-7029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number26117
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberN3354
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: