Badiozamani, Kasra R

Badiozamani, Kasra R is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Badiozamani, Kasra R can be contacted via phone (386) 586-2060.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD00040513 Washington
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1563-320 Wisconsin
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME154391 Florida

Profile Details

NPI number 1194833780
LBN Legal business name Badiozamani, Kasra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 2nd, 2023 - about 3 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 1194833780 NPPES
Washington Other 6050BH BLUE SHIELD
Washington MEDICAID 8298531 BLUE SHIELD
Washington Other 0039587 BLUE SHIELD
Washington Other MD5014W BLUE SHIELD
Washington Other P00818961 BLUE SHIELD
Washington Other US7036111 BLUE SHIELD

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