Provider Demographics
NPI:1548223324
Name:TORABI, AMIR MEHDI (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:MEHDI
Last Name:TORABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4800 NORTH GALLOWAY AVE
Mailing Address - Street 2:200
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4897
Mailing Address - Country:US
Mailing Address - Phone:992-677-7157
Mailing Address - Fax:972-677-7029
Practice Address - Street 1:2540 NTH GALLOWAY AVE
Practice Address - Street 2:105
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75151-4897
Practice Address - Country:US
Practice Address - Phone:972-677-7157
Practice Address - Fax:972-677-7029
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL26117207T00000X
TXN33542084S0012X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051525521Medicare ID - Type Unspecified
ALI26579Medicare UPIN
I26579Medicare UPIN