Khosrow Mehrany M D Inc

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

KHOSROW MEHRANY M D INC

Practice address

1729 Tully Rd Ste 9
Modesto, CA 95350-4081

Phone

(209) 338-7758

Fax

(209) 554-0311

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khosrow Mehrany, MDNPI 1235123142

Title

Owner Direction MD

Phone

(408) 603-6366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJIFBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khosrow Mehrany, M.D.

  • Specialist
  • Modesto, CA
  • NPI 1235123142
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1073721593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951596310",
            "telephone_number": "408-335-3966",
            "fax_number": "408-292-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 TULLY RD STE 9",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504081",
            "telephone_number": "209-338-7758",
            "fax_number": "209-554-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOSROW MEHRANY M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "MEHRANY",
        "authorized_official_first_name": "KHOSROW",
        "authorized_official_title_or_position": "OWNER DIRECTION MD",
        "authorized_official_telephone_number": "408-603-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maung Maung Khin, M.D.
• Andrew Khinoo
• Farhan Zafar Khokhar, MD
• Aneta Khoshaba
• Nahrin G. Khoshaba, MD
• Sheeba Khurshid
• Alicia Nicole Kibler
• Kendall Kiely
• Shawn Jay Kiely, MFT
• Sokea P Kiep, RN

• MOHS-Micrographic Surgery Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.