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NPI Profile for TAHEREH KESHAVARZ in FARGO, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1326287244 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 02/17/2009 | |
| Last updated | 11/21/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAHEREH KESHAVARZ
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TAHEREH KESHAVARZ, PA-C