Reza Mostofi in Chicago - Oral And Maxillofacial Pathology
Reza Mostofi - NPI 1205808854
Reza Mostofi is a Oral And Maxillofacial Pathology in Chicago, Illinois. Reza Mostofi practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Reza Mostofi is 1205808854. The last update date is 2007-07-08.
Reza Mostofi's current location address is 3407 W Bryn Mawr Ave, Chicago, Illinois. You can contact this provider via phone number 7732671110 and fax number 7732671081. The mailing address for Reza Mostofi is 3407 W Bryn Mawr Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reza Mostofi |
|---|---|
| Address | 3407 W Bryn Mawr Ave, Chicago, Illinois |
| Phone Number | 7732671110 |
| Fax Number | 7732671081 |
| Sole Proprietor | X |
| Credentials | DENTIST |
NPI Number Detail
| NPI Number | 1205808854 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3407 W Bryn Mawr Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606593450 |
| Phone Number | 7732671110 |
| Fax Number | 7732671081 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 19-16542 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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Post Comment/ Review Below
What is the unique identifier code issued to Reza Mostofi by the Centers for Medicare & Medicaid Services?
The Reza Mostofi has been assigned the NPI (National Provider Identifier) 1205808854. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Reza Mostofi?
The Reza Mostofi is physically situated at 3407 W Bryn Mawr Ave, in the city of Chicago, state of IL, with the postal code 606593450.
What is the Reza Mostofi's area of specialization and corresponding taxonomy classification?
The Reza Mostofi's specialty field is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their specialties.
On what date did Reza Mostofi receive its 1205808854 assignment from the Centers for Medicare & Medicaid Services?
The Reza Mostofi was assigned its 1205808854 on 2006-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Reza Mostofi most recently updated or revised?
The details related to Reza Mostofi, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.