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Dr. Fereydoon Mahjouri, MD
Specialist in Fridley, Minnesota
NPI 1710095419

Fereydoon Mahjouri is a Specialist based in Fridley, MN. Fereydoon Mahjouri practices in Fridley, MN and has the professional credentials of MD. The NPI Number for Fereydoon Mahjouri is 1710095419 and holds a License No. 23415 (Minnesota).

The current practice location address for Fereydoon Mahjouri is 500 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-780-2770 and via fax at 763-780-2812.

Location: 500 Osborne Rd Ne, Fridley, MN, 55432-2765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710095419
Provider Name
Fereydoon Mahjouri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Osborne Rd Ne, Fridley, MN, 55432-2765
Phone Number
763-780-2770
Fax Number
763-780-2812
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-2770
Fax Number
763-780-2812
person
Provider Business Mailing Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2765
Phone Number
763-780-2770
Fax Number
763-780-2812
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
23415 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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