Mohammad Reza Siadati, MD

NPI #1194718452 in Grapevine, Texas

Provider Information

NPI Number: 1194718452
Entity Type: Individual
Name: Mohammad Reza Siadati, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 23, 2005
Last Updated: Aug 15, 2022

Practice Location

Address: 2050 HALL JOHNSON RD STE 200
City: Grapevine
State: Texas
ZIP Code: 76051-8766
Phone: (817) 267-2678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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