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Melody Khosravi
Student in an Organized Health Care Education/Training Program in Sunnyvale, California
NPI 1912537283

Melody Khosravi is a Student in an Organized Health Care Education/Training Program based in Sunnyvale, CA. Melody Khosravi practices in Sunnyvale, CA. The NPI Number for Melody Khosravi is 1912537283 and holds a License No. (California).

The current practice location address for Melody Khosravi is 1079 Plymouth Dr # 2, Sunnyvale, CA and can be reached out via phone at 408-431-1506.

Location: 1079 Plymouth Dr # 2, Sunnyvale, CA, 94087-1741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912537283
Provider Name
Melody Khosravi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1079 Plymouth Dr # 2, Sunnyvale, CA, 94087-1741
Phone Number
408-431-1506
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000 01 SAMUEL MERRITT UNIVERSITY
institution
Provider Business Practice Location Address Details
Address
1079 Plymouth Dr # 2
City
Sunnyvale
State
California
Zip
94087-1741
Phone Number
408-431-1506
Fax Number
person
Provider Business Mailing Address Details
Address
1079 Plymouth Dr # 2
City
Sunnyvale
State
California
Zip
94087-1741
Phone Number
408-431-1506
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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