Ghoreishi, Easa

Ghoreishi, Easa is an individual health care provider with primary practice located at 810 Michael Dr Suite I, Chesterton IN 46304-2694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ghoreishi, Easa can be contacted via phone (219) 395-2142.

Contact Information

Primary practice address
810 Michael Dr Suite I Chesterton IN 46304-2694
Phone: (219) 395-2142
Fax: (219) 929-4292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01050773A Indiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 01050773A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C147933 California

Profile Details

NPI number 1417942228
LBN Legal business name Ghoreishi, Easa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 1st, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417942228 NPPES
Other P00258168 RR MEDICARE
Other 000000371646 RR MEDICARE
MEDICAID 200317290 RR MEDICARE

Popular Providers