Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 59420 | MN |
N | 207RH0003X | Hematology & Oncology | 59420 | MN |
NPI | 1265873970 |
---|---|
Provider Name | Mehrdad Hefazi Torghabeh |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2013 |
Last Update Date | 14/08/2020 |