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Dr. Mohammad Reza Rafieetary, OD
Specialist in Germantown, Tennessee
NPI 1750384541

Mohammad Reza Rafieetary is a Specialist based in Germantown, TN. Mohammad Reza Rafieetary practices in Germantown, TN and has the professional credentials of OD. The NPI Number for Mohammad Reza Rafieetary is 1750384541 and holds a License No. OD1200 (Tennessee).

The current practice location address for Mohammad Reza Rafieetary is 1432 Kimbrough Rd, Germantown, TN and can be reached out via phone at 901-767-4499 and via fax at 901-761-0727.

Location: 1432 Kimbrough Rd, Germantown, TN, 38138-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750384541
Provider Name
Mohammad Reza Rafieetary
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
1432 Kimbrough Rd, Germantown, TN, 38138-2405
Phone Number
901-767-4499
Fax Number
901-761-0727
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0169638 05 TN
institution
Provider Business Practice Location Address Details
Address
1432 Kimbrough Rd
City
Germantown
State
Tennessee
Zip
38138-2405
Phone Number
901-767-4499
Fax Number
901-761-0727
person
Provider Business Mailing Address Details
Address
1432 Kimbrough Rd
City
Germantown
State
Tennessee
Zip
38138-2405
Phone Number
901-767-4499
Fax Number
901-761-0727
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OD1200 (Tennessee)
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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