KHOSROW MEHRANY, MD INC A MEDICAL C CORPORATION (NPI# 1073721593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073721593 |
| Entity Type | Organization |
| Organization Name | KHOSROW MEHRANY, MD INC A MEDICAL C CORPORATION |
| Practice Address |
1130 Coffee Rd 7a Modesto CA 95355-4228 |
| Mailing Address |
Po Box 26310 San Jose CA 95159-6310 |
| Practice Telephone | 2093387758 |
| Practice Fax Number | 2095540311 |
| Mailing Telephone | 4083353966 |
| Mailing Fax Number | 4082922345 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | DR. KHOSROW MEHRANY (OWNER DIRECTION MD) |
| Authorized Official Telephone | 4086036366 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1130 COFFEE RD 7A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123142 | Khosrow Mehrany | Specialist | 1130 Coffee Rd, Suite 5b, Modesto, CA 95355-4228 | 2005-09-07 |
| 1033580931 | Gettysburg Medical Clinic Inc | Clinic/Center | 1130 Coffee Rd, Building 10, Modesto, CA 95355-4228 | 2015-10-18 |
| 1295970796 | Phillip Carroll | Orthotist | 1130 Coffee Rd, Suite B, Modesto, CA 95355-4228 | 2008-12-11 |
| 1639337660 | Ricky Brar | Dentist | 1130 Coffee Rd, #1a, Modesto, CA 95355-4228 | 2008-05-27 |
| 1760663413 | Vikram Brar | Dentist | 1130 Coffee Rd, Suite 1b, Modesto, CA 95355-4228 | 2007-11-23 |
| 1508075482 | Recto F. Deleon, M.d. Inc. | Family Medicine | 1130 Coffee Rd, Ste 9b, Modesto, CA 95355-4228 | 2007-05-21 |
| 1851424469 | Camile Rae Mcamis | Registered Nurse | 1130 Coffee Rd, Suite 5b, Modesto, CA 95355-4228 | 2007-03-13 |
| 1568509081 | Denice Starley | Physical Medicine & Rehabilitation | 1130 Coffee Rd, Bldg 2b, Modesto, CA 95355-4228 | 2007-02-01 |
| 1013080902 | Martha L Gomez | Dentist | 1130 Coffee Rd, Suite 9a, Modesto, CA 95355-4228 | 2006-11-16 |
| 1609852797 | Dan Gordon Anderson | Plastic Surgery | 1130 Coffee Rd, Suite 5 B, Modesto, CA 95355-4228 | 2005-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447588280 | Blake D. Alexander, Md PC | Dermatology | 1101 Standiford Ave, Suite A-3, Modesto, CA 95350-0982 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KHOSROW MEHRANY, MD INC A MEDICAL C CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.