Provider Demographics
NPI:1194986810
Name:TOOSI, MEHRAN SEILANIAN (MD)
Entity type:Individual
Prefix:
First Name:MEHRAN
Middle Name:SEILANIAN
Last Name:TOOSI
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 1:323 90TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5805
Mailing Address - Country:US
Mailing Address - Phone:917-488-3434
Mailing Address - Fax:
Practice Address - Street 1:323 90TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5805
Practice Address - Country:US
Practice Address - Phone:917-488-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program