Most Relevant Information
Provider Data
| NPI Number: | 1003484130 |
| Provider Name: | ROYA EDALATPOUR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | BP10076731 |
Most Important Dates
| Enumeration Date: | 06/15/2021 |
| Last Updated: | 06/15/2021 |
Provider Practice Location
UT AUSTIN DELL MEDICAL SCHOOL NEUROLOGY PROGRAM CEC
1400 IH-35, CEC 310
AUSTIN
TX
78701
Practice Location Phone/Fax
| Phone: | 5123247890 |
| Fax: |
Provider Mailing Location
UT AUSTIN DELL MEDICAL SCHOOL NEUROLOGY PROGRAM CEC
1400 IH-35, CEC 310
AUSTIN
TX
78701
Provider Mailing Phone/Fax
| Phone: | 5123247890 |
| Fax: |