Provider Demographics
NPI:1649903055
Name:SEPEHRI, ARESH (MD)
Entity type:Individual
Prefix:DR
First Name:ARESH
Middle Name:
Last Name:SEPEHRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINNIPEG
Mailing Address - State:MANITOBA
Mailing Address - Zip Code:R3T 5N5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 MEADOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:WINNIPEG
Practice Address - State:MANITOBA
Practice Address - Zip Code:R3T 5N5
Practice Address - Country:CA
Practice Address - Phone:778-999-9124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program