National Provider Identifier
Mahta Mortezavi, MD
Mahta Mortezavi, MD is listed in the NPPES registry with a primary specialty of Allergy & Immunology (Internal Medicine) Physician in Rochester, NY and a listed phone number of (585) 922-8350.
Profile Overview
- NPI
- 1093013781
- Provider Type
- Individual
- Primary Specialty
- Allergy & Immunology (Internal Medicine) Physician
- Enumeration Date
- March 04, 2011
- Last Updated
- July 21, 2022
Practice Location
- 222 Alexander St Ste 3000
- Rochester, NY 14607-4047
Phone: (585) 922-8350
Mailing Address
- 222 Alexander St
- Ste 3000
- Rochester, NY 14607-4047
Specialties
- Allergy & Immunology (Internal Medicine) Physician (207RA0201X)
- Rheumatology Physician (207RR0500X)
Full Record
- NPI
- 1093013781
- Entity Type
- Individual
- Last Name
- Mortezavi
- First Name
- Mahta
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 222 Alexander St
- Mailing Address Line 2
- Ste 3000
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-4047
- Mailing Country
- US
- Mailing Phone
- (585) 922-8350
- Practice Street Address
- 222 Alexander St Ste 3000
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4047
- Practice Country
- US
- Practice Phone
- (585) 922-8350
- Enumeration Date
- March 04, 2011
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Allergy & Immunology (Internal Medicine) Physician (207RA0201X), Rheumatology Physician (207RR0500X)