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DR. MORTEZA SHAHMIR M.D.

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699778506

Individual Registrant:
DR. MORTEZA  SHAHMIR M.D.
Gender: M

Location and contact information for practice:
1211 WOODHURST ST  BOWLING GREEN, KY 42104-3368 US
Tel: 270-782-7373  Fax: 270-796-8676

Contact information for business:
1211 WOODHURST ST  BOWLING GREEN, KY 42104-3368 US
Tel: 270-782-7373  Fax: 270-796-8676

Registration Information:
NPI: 1699778506
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
KY20065

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ECFMG138943601
64200652KY05




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