National Provider Identifier

Mahyar Khazaeli

Mahyar Khazaeli is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 859-3760.

NPI 1174151286Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1174151286
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 01, 2020
Last Updated
April 01, 2020

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-3760

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1174151286
Entity Type
Individual
Last Name
Khazaeli
First Name
Mahyar
Mailing Street Address
100 High St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1126
Mailing Country
US
Mailing Phone
(716) 859-3760
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-3760
Enumeration Date
April 01, 2020
Last Updated
April 01, 2020
Sex
Male
Sole Proprietor
No
Certification Date
April 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
97783276F (CA)