Agahtehrani, Abdolreza

Agahtehrani, Abdolreza is an individual health care provider with primary practice located at 6420 Dutchmans Pkwy Ste 200, Louisville KY 40205-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Agahtehrani, Abdolreza can be contacted via phone (502) 891-8300.

Contact Information

Primary practice address
6420 Dutchmans Pkwy Ste 200 Louisville KY 40205-3372
Phone: (502) 891-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 43033 Kentucky

Profile Details

NPI number 1437267663
LBN Legal business name Agahtehrani, Abdolreza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437267663 NPPES
Other 000000635481 ANTHEM
Other 50031143 ANTHEM
MEDICAID 7100045440 ANTHEM
Other P00893011 ANTHEM
Other 3737980000 ANTHEM
Other 000000693017 ANTHEM
MEDICAID 201044560 ANTHEM
Other 50025829 ANTHEM
Other 000057058W ANTHEM

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