Atashirang, Ghassem Khan

Atashirang, Ghassem Khan is an individual health care provider with primary practice located at 2130 S Buckner Blvd , Dallas TX 75227-8601. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Atashirang, Ghassem Khan can be contacted via phone (214) 381-1700.

Contact Information

Primary practice address
2130 S Buckner Blvd Dallas TX 75227-8601
Phone: (214) 381-1700
Fax: (214) 381-1497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 03756 Texas
Eye and Vision Services Providers / Occupational Vision 152WX0102X 03756 Texas
Eye and Vision Services Providers / Optometrist 152W00000X 03756 Texas

Profile Details

NPI number 1801011937
LBN Legal business name Atashirang, Ghassem Khan
Credentials OD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Dec 9th, 2019 - about 6 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 1801011937 NPPES
Texas Other 526446 OE NUMBER OPTOMETIC EDUCA
Texas Other 910075 OE NUMBER OPTOMETIC EDUCA
Texas MEDICAID GOOOE78S6 OE NUMBER OPTOMETIC EDUCA

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