Dr. Mehran Mehrabi
Oral and Maxillofacial Surgeon
500 W Silver Spring Dr Suite 250 K
Glendale
, Wisconsin 53217-5051
Dr. Mehran Mehrabi
Oral and Maxillofacial Surgeon
500 W Silver Spring Dr Suite 250 K
Glendale
, Wisconsin 53217-5051
(414) 963-0413
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mehran Mehrabi
- 500 W Silver Spring Dr Suite 250 K
- Glendale, WI
- Zip : 53217-5051
- Fax : (414) 963-0413
- Phone : (414) 475-9632
Second Address
- Dr. Mehran Mehrabi
- 500 W Silver Spring Dr Suite 250 K
- Glendale, WI
- Zip : 53217-5051
- Fax : (414) 963-0413
- Phone : (414) 475-9632
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 20002 | MA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 52824-20 | WI |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 6344-15 | WI |
National Provider Identifier
| NPI | 1033211099 |
|---|---|
| Provider Name | Dr. Mehran Mehrabi |
| First Address | Glendale, WI 53217-5051 |
| Second Address | Glendale, WI 53217-5051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 14/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.