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Mahyar Khazaeli
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1174151286

Mahyar Khazaeli is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Mahyar Khazaeli practices in Buffalo, NY. The NPI Number for Mahyar Khazaeli is 1174151286 and holds a License No. (New York).

The current practice location address for Mahyar Khazaeli is 100 High St, Buffalo, NY and can be reached out via phone at 716-859-3760.

Location: 100 High St, Buffalo, NY, 14203-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174151286
Provider Name
Mahyar Khazaeli
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 High St, Buffalo, NY, 14203-1126
Phone Number
716-859-3760
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97783276F 05 CA
institution
Provider Business Practice Location Address Details
Address
100 High St
City
Buffalo
State
New York
Zip
14203-1126
Phone Number
716-859-3760
Fax Number
person
Provider Business Mailing Address Details
Address
100 High St
City
Buffalo
State
New York
Zip
14203-1126
Phone Number
716-859-3760
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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