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NPI Code Detail

MEDICARE: MEHRAN NOWFAR-RAD M.D.

MEDICARE: MEHRAN NOWFAR-RAD M.D.
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
1207ND0900XDermatopathology PhysicianA66360CA

General Provider Information

NPI Number : 1912979048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHRAN NOWFAR-RAD M.D.
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 714-443-4512
Fax Number :
Provider Business Practice Location Address
First Line : 675 S ARROYO PKWY
Second Line :
City : PASADENA
State : CA
Zip : 91105-3263
Country : US
Telephone Number : 626-304-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 03/09/2026

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