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NPI Code Detail

MEDICARE: DR. ALIREZA JAHAN-MIHAN PHD. RDN.

MEDICARE: DR. ALIREZA JAHAN-MIHAN PHD. RDN.
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
1133VN1201XObesity and Weight Management Nutrition Registered Dietitian

General Provider Information

NPI Number : 1003748435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALIREZA JAHAN-MIHAN PHD. RDN.
Provider Business Mailing Address
First Line : 288 CROOKED CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-4499
Country : US
Telephone Number : 904-415-6823
Fax Number :
Provider Business Practice Location Address
First Line : 288 CROOKED CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-4499
Country : US
Telephone Number : 904-415-6823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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