Provider Demographics
NPI:1871344564
Name:MOHAJERIN, ARSHIA (MD)
Entity type:Individual
Prefix:MR
First Name:ARSHIA
Middle Name:
Last Name:MOHAJERIN
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 1:2021 PROFESSIONAL CENTER DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073
Mailing Address - Country:US
Mailing Address - Phone:904-639-2022
Mailing Address - Fax:
Practice Address - Street 1:2021 PROFESSIONAL CENTER DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-639-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-12-23
Deactivation Date:2024-10-31
Deactivation Code:
Reactivation Date:2024-12-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program