Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khosrow Mehrany, MD

Individual provider Specialist · NPI 1235123142

Khosrow Mehrany, MD is a Micrographic Dermatologic Surgery (Mds) in Modesto, California. Graduated from George Washington University School of Medicine in 1998, 28 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1729 Tully Rd Ste 9
Modesto, CA 95350-4081
Phone: (209) 338-7758
Fax: (209) 554-0311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A87519 (CA)

Record details

NPI number1235123142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESJune 21, 2021
Certification dateDecember 4, 2020
Mailing address64 Mariposa Ave, Los Gatos, CA 95030-4317

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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