NPI

Delaram Sadat Aghili Mehrizi

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DMD
Type
Individual
Enumeration date
2017-05-23
Last updated
2019-01-26

Specialties

Licenses

License WI
1001706-15
License UT
10457477-9921
License CO
DEN.00203335
License IL
019.031433
License PA
DS041484
License CA
102361
License TX
34749

Location

Practice location
75 Sherry Ave
City
Park Falls WI
Postal code
54552-1468
Phone
(715) 762-0200

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Park Falls, WI. 114 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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