Dr. Taraneh D Mehrani
Rheumatology
3263 Eaton Rd
Green Bay
, Wisconsin 54311-6830
Dr. Taraneh D Mehrani
Rheumatology
3263 Eaton Rd
Green Bay
, Wisconsin 54311-6830
(920) 445-7289
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Taraneh D Mehrani
- Po Box 22487
- Green Bay, WI
- Zip : 54305-2487
- Fax : (920) 445-7289
- Phone : (920) 445-7222
Second Address
- Dr. Taraneh D Mehrani
- 3263 Eaton Rd
- Green Bay, WI
- Zip : 54311-6830
- Fax : (920) 433-6719
- Phone : (920) 433-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 64103 | WI |
National Provider Identifier
| NPI | 1114108644 |
|---|---|
| Provider Name | Dr. Taraneh D Mehrani |
| First Address | Green Bay, WI 54305-2487 |
| Second Address | Green Bay, WI 54311-6830 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2007 |
| Last Update Date | 07/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04971530 | (05) | MS |
| 1114108644 | (05) | WI |
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.