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KHOSROW MEHRANY M D INC
NPI 1073721593
Dermatology - MOHS-Micrographic Surgery in Modesto, CA

Active since May 18, 2007CLIA 05D1042643 · Certificate of Compliance
1729 TULLY RD STE 9, MODESTO, CA 95350(209) 338-7758(209) 554-0311 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, Sep 2, 2022, Jun 21, 2021 and 1 more (4 updates tracked since 2019).

About Khosrow Mehrany M D Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHOSROW MEHRANY M D INC (NPI 1073721593) is a healthcare organization registered as a mohs-micrographic surgery in Modesto, California and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 12, 2027 and lists Khosrow Mehrany, Owner Direction Md, as its authorized official.

NPPES Registry Identity

NPI1073721593
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameKHOSROW MEHRANY M D INC
Location Address1729 TULLY RD STE 9Modesto, CA 95350-4081
Mailing AddressPo Box 26310San Jose, CA 95159-6310 · (408) 335-3966 · Fax (408) 292-2345
Phone(209) 338-7758
Fax(209) 554-0311
Organization SubpartNo
Authorized OfficialKhosrow MehranyOwner Direction Md · (408) 603-6366
Enumeration DateMay 18, 2007
Last NPPES UpdateSeptember 7, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1073721593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
1729 TULLY RD STE 9, Modesto, CA 95350
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1042643

Khosrow Mehrany MD, Inc · Modesto, CA
Active · expires Apr 12, 2027
CLIA Number05D1042643
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorKhosrow Mehrany
Laboratory Phone(209) 338-7758
Laboratory LocationKhosrow Mehrany MD, Inc1729 Tully Rd, Ste 9, Modesto, CA 95350
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 05D1072821

Khosrow Mehrany, MD Inc · San Jose, CA
Expired · Aug 5, 2026
CLIA Number05D1072821
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorKhosrow Mehrany
Laboratory Phone(408) 335-3966
Laboratory LocationKhosrow Mehrany, MD Inc219 Meridian Ave, San Jose, CA 95126
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHOSROW MEHRANY M.D.
Specialist
1729 TULLY RD STE 9
MODESTO, CA 95350
Stanislaus County (209) 338-7758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khosrow Mehrany M D Inc's NPI number?

The NPI number for Khosrow Mehrany M D Inc is 1073721593. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Khosrow Mehrany M D Inc located?

Khosrow Mehrany M D Inc is located at 1729 Tully Rd Ste 9, Modesto, CA 95350. The listed phone number is (209) 338-7758.

What is Khosrow Mehrany M D Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Khosrow Mehrany M D Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1042643) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khosrow Mehrany M D Inc was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.