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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699775866 | NPPES |
| Texas | Other | 8B1190 | MEDICARE PTAN |
| Texas | Other | 00250T | MEDICARE PTAN |
| Texas | Other | 00251T | MEDICARE PTAN |
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