Ghaemmaghami, Nosratollah
Ghaemmaghami, Nosratollah is an individual health care provider with primary practice located at 381 Medical Drive , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ghaemmaghami, Nosratollah can be contacted via phone (601) 981-9652.Contact Information
Primary practice address
381 Medical Drive
Jackson MS 39216
Phone: (601) 981-9652
Fax: (601) 981-3666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 11488 | Mississippi |
Profile Details
| NPI number | 1568489417 |
|---|---|
| LBN Legal business name | Ghaemmaghami, Nosratollah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | May 22nd, 2008 - about 18 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 | 1568489417 | NPPES |
| Mississippi | MEDICAID | 00118385 |
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