Forouhi, Souren
Forouhi, Souren is an sole proprietor health care provider with primary practice located at 3801 Miranda Ave # 171 , Palo Alto CA 94304-1207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Forouhi, Souren can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
3801 Miranda Ave # 171
Palo Alto CA 94304-1207
Phone: (650) 493-5000
Fax: (650) 849-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18956 | Nevada |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A157501 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | A157501 | California |
Profile Details
| NPI number | 1205289410 |
|---|---|
| LBN Legal business name | Forouhi, Souren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Nov 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205289410 | NPPES |
| California | MEDICAID | A157501 | |
| California | Other | 18956 |
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