Provider Demographics
NPI:1265177646
Name:ALAGHEHBANDAN, REZA (MD, MSC, FRCPC)
Entity type:Individual
Prefix:DR
First Name:REZA
Middle Name:
Last Name:ALAGHEHBANDAN
Suffix:
Gender:M
Credentials:MD, MSC, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52-1295 SOBALL ST
Mailing Address - Street 2:
Mailing Address - City:COQUITLAM
Mailing Address - State:CA
Mailing Address - Zip Code:V3E0G9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:NEW WESTMINSTER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V3E0G9
Practice Address - Country:CA
Practice Address - Phone:604-520-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.144518207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology