Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2012020031 | MO |
N | 208000000X | Pediatrician | 62832 | MN |
Y | 2080P0216X | Pediatric Rheumatologist | 62832 | MN |
N | 2080P0216X | Pediatric Rheumatologist | 73899 | WI |
NPI | 1467716027 |
---|---|
Provider Name | Amir Behzad Orandi |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2012 |
Last Update Date | 28/10/2020 |