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Shahriar
Shahriar
Mahmoudiani
Medical doctor
New York, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
SHAHRIAR MAHMOUDIANI
Job Title
Medical Doctor
Location
New York, NY, USA
LIC ID
105163
Current License Expiration Date
31/01/2024
Original Date
14/09/2011
Professional Rank Code
ME
Effective Date
05/02/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
INACTIVE
Country Description
Out of State
Mailing Address Line 2
APT 14A
Practice Location Address Line 1
4422 THIRD AVE.
Practice Location Address City
BRONX
Practice Location Address State
NY
Practice Location Address Zipcode
10457
Prescribing Indicator
N
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