Provider Demographics
NPI:1922281328
Name:MOBASHER, MEHRDAD (MD MPH)
Entity Type:Individual
Prefix:
First Name:MEHRDAD
Middle Name:
Last Name:MOBASHER
Suffix:
Gender:M
Credentials:MD MPH
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Other - Last Name:
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Mailing Address - Street 1:875 BLAKE WILBUR DRIVE
Mailing Address - Street 2:STANFORD CANCER CENTER
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5820
Mailing Address - Country:US
Mailing Address - Phone:650-723-7621
Mailing Address - Fax:650-723-6661
Practice Address - Street 1:875 BLAKE WILBUR DRIVE
Practice Address - Street 2:STANFORD CANCER CENTER
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5820
Practice Address - Country:US
Practice Address - Phone:650-723-7621
Practice Address - Fax:650-723-6661
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96428207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology