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Mastaneh Nikravesh, MD
Student in an Organized Health Care Education/Training Program in Hemet, California
NPI 1508429143

Mastaneh Nikravesh is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mastaneh Nikravesh practices in Hemet, CA and has the professional credentials of MD. The NPI Number for Mastaneh Nikravesh is 1508429143 and holds a License No. (California).

The current practice location address for Mastaneh Nikravesh is 1117 E Devonshire Ave Ste 209, Hemet, CA and can be reached out via phone at 951-925-6389.

Location: 1117 E Devonshire Ave Ste 209, Hemet, CA, 92120-3928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508429143
Provider Name
Mastaneh Nikravesh
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1117 E Devonshire Ave Ste 209, Hemet, CA, 92120-3928
Phone Number
951-925-6389
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1117 E Devonshire Ave Ste 209
City
Hemet
State
California
Zip
92543-3083
Phone Number
951-925-6389
Fax Number
person
Provider Business Mailing Address Details
Address
1117 E Devonshire Ave Ste 209
City
Hemet
State
California
Zip
92543-3083
Phone Number
951-925-6389
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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