Hart, Noushin Izadifar

Hart, Noushin Izadifar is an individual health care provider with primary practice located at 2776 Enterprise Rd Suite 100, Orange City FL 32763-8316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Hart, Noushin Izadifar can be contacted via phone (386) 774-1223.

Contact Information

Primary practice address
2776 Enterprise Rd Suite 100 Orange City FL 32763-8316
Phone: (386) 774-1223
Fax: (386) 774-1507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X L5385 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036101984 Illinois
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0101248816 Virginia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME112142 Florida

Profile Details

NPI number 1699775866
LBN Legal business name Hart, Noushin Izadifar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 5th, 2012 - about 14 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 1699775866 NPPES
Texas Other 8B1190 MEDICARE PTAN
Texas Other 00250T MEDICARE PTAN
Texas Other 00251T MEDICARE PTAN

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