Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Otolaryngology/Facial Plastic Surgery |
207YX0905X | 04 | Physician/Otolaryngology | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery |
| NPI # | 1174801948 |
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| LBN Legal business name | SEPEHR MD APC | ||||
| Authorized official | ALI SEPEHR - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/28/2011 | ||||
| Last updated | 07/28/2011 - About 15 years ago | ||||
| Identifiers |
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