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NPI Code Detail

MEDICARE: DR. MEHRNOOSH JAHANI D.O.

MEDICARE:  DR. MEHRNOOSH  JAHANI  D.O.
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
1207L00000XAnesthesiology PhysicianH2490TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2TXB117159OTHERTXMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659322394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEHRNOOSH JAHANI D.O.
Provider Business Mailing Address
First Line : PO BOX 703196
Second Line :
City : DALLAS
State : TX
Zip : 75370-3196
Country : US
Telephone Number : 972-562-9022
Fax Number :
Provider Business Practice Location Address
First Line : 1100 ALLIED DR
Second Line :
City : PLANO
State : TX
Zip : 75093-5348
Country : US
Telephone Number : 214-642-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/25/2013

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Directions to “ DR. MEHRNOOSH JAHANI D.O.” Practice Location

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