Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 067089 | GA |
NPI | 1780893073 |
---|---|
Provider Name | Dr. Mehrdad Seilanian Toosi |
First Address | Atlanta, GA 30309-3609 |
Second Address | Atlanta, GA 30309-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067089 | GA MEDICAL LICENSE (01) | GA |